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General NPI Number Information
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NPI Number | 1447289798
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Entity Type | Individual
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Provider Name | MARILYN JEANNE RAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 448 WINDSOR RD
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City | CLAREMONT
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State | NH
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Zip | 03743-4123
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Country | US
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Telephone | 603-558-1260
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Fax | 603-287-8098
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Provider Business Mailing Address
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Address Line | PO BOX 1117
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City | CLAREMONT
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State | NH
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Zip | 03743-1117
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Country | US
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Telephone | 603-558-1260
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Fax | 603-287-8098
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0425374
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19944
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR-35177
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License Number State | CO
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