Individual
PAUL T GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5243
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5243
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47041
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
47041
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110063837A
—
MA
05
—
6167438
—
MA
Enumeration date
09/21/2006
Last updated
05/21/2012
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