Individual
SONYA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST STE 410, PHILADELPHIA, PA 19140-5103
(865) 441-6784
Mailing address
316 W PROVIDENCE RD, ALDAN, PA 19018-3830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA063471
PA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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