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NPI Code Detail

MEDICARE: DR. DANI RAY MD

MEDICARE: DR. DANI RAY MD
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
12084P0800XPsychiatry Physician226719MA

General Provider Information

NPI Number : 1467402560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANI RAY MD
Provider Business Mailing Address
First Line : 74 PENNIMAN ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-7008
Country : US
Telephone Number : 617-816-7366
Fax Number :
Provider Business Practice Location Address
First Line : 52 OAK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2078
Country : US
Telephone Number : 774-213-9088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 11/09/2018

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