Search › Pennsylvania › 363A00000X
Deionte Harrilla-Gray, PA-C
NPI 1679348205 · on the registry since 2023
Practice
- Address
- 1412 Fairmount Ave
Philadelphia, PA 19130 - Phone
- (215) 684-5344
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- NY, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania