Individual
NICOLE EVA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 W SPROUL RD STE 100, SPRINGFIELD, PA 19064-2033
(610) 690-4900
Mailing address
958 COUNTY LINE RD, STE 106, BRYN MAWR, PA 19010-2585
(212) 744-2513
(212) 744-4816
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
224964
NY
207W00000X
Ophthalmology Physician
Primary
MD072039L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02354098
—
NY
Enumeration date
09/09/2005
Last updated
08/05/2022
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