Provider Demographics
NPI:1083666309
Name:GREY, MARIJKA ANGELICA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIJKA
Middle Name:ANGELICA
Last Name:GREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-339-2424
Mailing Address - Fax:717-334-6659
Practice Address - Street 1:40 V TWIN DR
Practice Address - Street 2:SUITE 204
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7875
Practice Address - Country:US
Practice Address - Phone:717-339-2424
Practice Address - Fax:717-334-6659
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428691207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1860436OtherHIGHMARK BLUE SHIELD
PA20090401OtherAMERIHEALTH-WMG HOSP
MD884942OtherCAREFIRST MD BCBS
PA50058983OtherCAPITAL BC-WMG GAM
PA50059539OtherCAPITAL BC-WMG GHOSPITALI
PA20054996OtherAMERIHEALTH MERCY GAM
PA2147306OtherMAMSI-WMG GAM
PA2161249OtherMAMSI-WMG GHOSPITALISTS
PA101621735Medicaid
PAP00358898OtherRAILROAD MEDICARE
PA187387OtherUNISON-WMG GHOSPITALISTS
PA101465OtherGEISINGER HEALTH PLAN
PA30151208OtherAMERIHEALTH CARITAS PA - WMG- WRC
PA1553401OtherGATEWAY-WMG GHOSPITALISTS
PA184067OtherUNISON-WMG GAM
PA203251OtherJOHNS HOPKINS
PA7894893OtherAETNA
PAP006855OtherGATEWAY-WMG GAM
PA30151208OtherAMERIHEALTH CARITAS PA - WMG- WRC
PA2147306OtherMAMSI-WMG GAM
I52574Medicare UPIN