Individual
MARY ELLEN GROSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10215 FERNWOOD RD, SUITE 506, BETHESDA, MD 20817-1106
(301) 530-1010
Mailing address
10215 FERNWOOD RD, SUITE 506, BETHESDA, MD 20817-1106
(301) 530-1010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16971
MD
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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