Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latisha Monique Gray, PA-C

Individual provider Surgical Physician Assistant · NPI 1629364914

Latisha Monique Gray, PA-C is a Surgical Physician Assistant in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.

Licensed in
CT
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

72 Cogswell St
Bridgeport, CT 06610-1945
Phone: (203) 650-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002538 (CT)

Record details

NPI number1629364914
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESJune 24, 2011

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