Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0023049 | MD |
NPI | 1053493619 |
---|---|
Provider Name | Dr. Harvey Linton Wray |
First Address | Chevy Chase, MD 20815-5432 |
Second Address | Washington, DC 20065-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 08/07/2007 |