Individual
MRS. MIRIAM REBECCA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1615 CENTRAL AVE, HIGHLAND PARK, NJ 08904-3708
(818) 633-2260
Mailing address
1615 CENTRAL AVE, HIGHLAND PARK, NJ 08904-3708
(818) 633-2260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
02/14/2024
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