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Organization

MOORESTOWN INTERNAL MEDICINE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID D GROSS M.D. (PRESIDENT)
(856) 234-7754
Entity
Organization

Contact information

Practice address
147 E 3RD ST STE 1, MOORESTOWN, NJ 08057-2924
(856) 234-7754
(856) 234-2290
Mailing address
147 E 3RD ST STE 1, MOORESTOWN, NJ 08057-2924
(856) 234-7754
(856) 234-2290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003106
AETNA
NJ
01
0500085001
AMERIHEALTH KHPE IND BC
NJ
05
4621000
NJ
01
CI0287
RAILROAD MEDICARE
NJ
Enumeration date
12/01/2006
Last updated
02/15/2008
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