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Individual
DR. CHARLES GROSS
Active
Individual
DR. CHARLES GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
482
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004099017
—
CT
01
—
0212695002
CIGNA
CT
01
—
030000482CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
27-00926
EVERCARE
CT
01
—
3V1076
HEALTHNET
CT
01
—
607508
CONNECTICARE
CT
01
—
P383730
OXFORD
CT
Enumeration date
09/20/2005
Last updated
02/25/2009
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