Provider Demographics
NPI:1124209986
Name:MARGARET SWAIN-GRAY, M.D.
Entity Type:Organization
Organization Name:MARGARET SWAIN-GRAY, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAIN-GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-339-0290
Mailing Address - Street 1:2222 OLD BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19363
Mailing Address - Country:US
Mailing Address - Phone:610-339-0290
Mailing Address - Fax:
Practice Address - Street 1:2222 OLD BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:PA
Practice Address - Zip Code:19363
Practice Address - Country:US
Practice Address - Phone:610-339-0290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1453711OtherPA BLUE SHIELD
PA1078501OtherMERCY HEALTH PLAN
PA2197863001OtherPERSONAL CHOICE
PADA9781OtherRAIL ROAD MEDICARE
PA4666859OtherCIGNA
PA706326OtherUNITED HEALTH CARE
PA4666859OtherCIGNA
PADA9781OtherRAIL ROAD MEDICARE