Individual
DR. PETER L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 HOSPITAL RD, SUITE 215, PRINCE FREDERICK, MD 20678-4019
(410) 535-4116
(410) 414-8480
Mailing address
PO BOX 447, PRINCE FREDERICK, MD 20678-0447
(410) 535-4116
(410) 414-8480
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
0101038308
VA
163WU0100X
Urology Registered Nurse
MD5012
DC
208800000X
Urology Physician
Primary
D0057592
MD
Other
Enumeration date
12/19/2006
Last updated
10/20/2009
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