Gray Consulting Services, Inc | |
1253 Springfield Ave New Providence NJ 07974-2931 | |
(201) 348-2211 | |
(201) 348-2213 |
Full Name | Gray Consulting Services, Inc |
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Speciality | Psychiatry & Neurology |
Location | 1253 Springfield Ave, New Providence, New Jersey |
Authorized Official Name and Position | Sonja Gray (OWNER) |
Authorized Official Contact | 2013482211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gray Consulting Services, Inc 1253 Springfield Ave New Providence NJ 07974-2931 Ph: (201) 348-2211 | Gray Consulting Services, Inc 1253 Springfield Ave New Providence NJ 07974-2931 Ph: (201) 348-2211 |
NPI Number | 1639321946 |
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Provider Enumeration Date | 10/17/2008 |
Last Update Date | 10/17/2008 |
Medicare PECOS PAC ID | 1759444003 |
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Medicare Enrollment ID | O20090113000160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639321946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07931200 (New Jersey) | Primary |
Provider Name | Sonja Gray |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043304108 PECOS PAC ID: 8022036151 Enrollment ID: I20051215000045 |
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