Provider Demographics
NPI:1497723944
Name:RAY, MEREDITH H (MD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:H
Last Name:RAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14B MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901
Mailing Address - Country:US
Mailing Address - Phone:215-348-4914
Mailing Address - Fax:215-230-3664
Practice Address - Street 1:178 W STREET RD
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7817
Practice Address - Country:US
Practice Address - Phone:215-710-6490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA77401207Q00000X
PAMD422642207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0056898Medicaid
NJ083495Medicare ID - Type Unspecified
NJ116679Medicare UPIN
NJI16679Medicare UPIN