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NPI Code Detail

MEDICARE: DR. ROY GAY MD

MEDICARE: DR. ROY GAY 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
1207R00000XInternal Medicine PhysicianMD037685PA

General Provider Information

NPI Number : 1831172584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY GAY MD
Provider Business Mailing Address
First Line : 2116 CHESTNUT ST
Second Line : IST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19103-4401
Country : US
Telephone Number : 215-988-0508
Fax Number :
Provider Business Practice Location Address
First Line : 2116 CHESTNUT ST
Second Line : 1 ST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19103-4401
Country : US
Telephone Number : 215-988-0508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROY GAY MD” Practice Location

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