Individual
MARY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
ONE HOSPITAL ROAD, OAK BLUFFS, MA 02557
(508) 957-9473
Mailing address
P.O BOX 1477, OAK BLUFFS, MA 02557
(508) 957-9473
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
302
MA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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