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NPI Code Detail

MEDICARE: ROY N GAY MD PC

MEDICARE: ROY N GAY MD PC
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
1173000000XLegal MedicineMD 037685PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD 037685OTHERPAMEDICAL LICENCES NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700950409
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROY N GAY MD PC
Provider Business Mailing Address
First Line : 411 E GOWEN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-1025
Country : US
Telephone Number : 215-988-0508
Fax Number : 215-988-0518
Provider Business Practice Location Address
First Line : 2116 CHESTNUT ST
Second Line : 1ST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19103-4401
Country : US
Telephone Number : 215-988-0508
Fax Number : 215-988-0518
Authorized Official
Title or Position : ACCOUNT MANAGER
Name : MS. CATHLEEN MARGARET WLOCK
Credential :
Telephone Number : 610-832-5903
Provider Enumeration Date : 11/17/2006
Last Update Date : 03/07/2023

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1891024436 — SIDNEY HILLMAN ORTHO
Practice Location Address:
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Practice Fax: 215-568-4088

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