# HARVEY R. GROSS, MD, PC

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

## Provider details

- **NPI number:** 1942377023
- **Authorized official:** DR. HARVEY R GROSS MD (PRESIDENT)
- **Authorized official phone:** (201) 567-3370

## Contact information

- **Practice address:** 370 GRAND AVE, SUITE 102, ENGLEWOOD, NJ 07631-4154
- **Practice address phone:** (201) 567-3370
- **Practice address fax:** (201) 816-1265
- **Mailing address:** 370 GRAND AVE, SUITE 102, ENGLEWOOD, NJ 07631-4154
- **Mailing address phone:** (201) 567-3370
- **Mailing address fax:** (201) 816-1265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 06/04/2010