Individual
SHELDON WARREN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 PRESIDENTIAL BLVD, UNIT 217, BALA CYNWYD, PA 19004-1217
(856) 661-5473
(856) 661-5470
Mailing address
191 PRESIDENTIAL BLVD, UNIT 217, BALA CYNWYD, PA 19004-1217
(856) 231-4774
(856) 231-9699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA05827700
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD008874E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4603001
—
NJ
Enumeration date
08/04/2005
Last updated
10/31/2017
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