# MOORESTOWN INTERNAL MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255409868
- **Authorized official:** DR. DAVID D GROSS M.D. (PRESIDENT)
- **Authorized official phone:** (856) 234-7754

## Contact information

- **Practice address:** 147 E 3RD ST STE 1, MOORESTOWN, NJ 08057-2924
- **Practice address phone:** (856) 234-7754
- **Practice address fax:** (856) 234-2290
- **Mailing address:** 147 E 3RD ST STE 1, MOORESTOWN, NJ 08057-2924
- **Mailing address phone:** (856) 234-7754
- **Mailing address fax:** (856) 234-2290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 02/15/2008
