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NPI Code Detail

MEDICARE: JADE MARIE GRAY D.P.M.

MEDICARE: JADE MARIE GRAY D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist25MD00313200NJ

General Provider Information

NPI Number : 1518227578
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE MARIE GRAY D.P.M.
Provider Business Mailing Address
First Line : 2 CHERYL CT
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4929
Country : US
Telephone Number : 856-780-0779
Fax Number :
Provider Business Practice Location Address
First Line : 40 W KINGS HWY
Second Line :
City : MOUNT EPHRAIM
State : NJ
Zip : 08059-1303
Country : US
Telephone Number : 856-780-0779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2012
Last Update Date : 09/22/2025

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Directions to “ JADE MARIE GRAY D.P.M.” Practice Location

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