Individual
MR. BARRY IRA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
90 SPARTA AVENUE, SPARTA, NJ 07871-2030
(973) 729-8294
Mailing address
271 SPRINGBROOK TRL, SPARTA, NJ 07871-2030
(973) 729-8294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NJ
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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