Individual
MONICA L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
360 KINGSTOWN RD, SUITE 104, NARRAGANSETT, RI 02882-3239
(401) 789-1086
(401) 789-5344
Mailing address
360 KINGSTOWN RD, SUITE 104, NARRAGANSETT, RI 02882-3239
(401) 789-1086
(401) 789-5344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09154
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-01360
UNITED HEALTH PLAN
RI
01
—
040801208
MRO
—
01
—
080164988
RAILROAD MEDICARE
—
01
—
152368
TUFTS
—
01
—
1692
NHPRI
RI
01
—
206343
BCBS
RI
01
—
400265
BLUECHIP
—
05
—
9000328
—
RI
05
—
9002666
—
RI
Enumeration date
07/29/2005
Last updated
12/27/2010
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