Individual
LAWRENCE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 CAMELIA AVE, CAMBRIDGE, MA 02139-1008
(617) 665-1000
Mailing address
16 CAMELIA AVE, CAMBRIDGE, MA 02139-1008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1024512
MA
2084P0800X
Psychiatry Physician
25IA12758200
NJ
2084P0800X
Psychiatry Physician
Primary
C1-0028381
DE
2084P0800X
Psychiatry Physician
D0101087
MD
2084P0800X
Psychiatry Physician
MD491038C
PA
Other
Enumeration date
03/24/2020
Last updated
12/01/2025
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