Individual
DR. MICHAEL L GROSS
Active
Individual
DR. MICHAEL L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA07100900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038348AD7Q
MEDICARE PTAN
—
Enumeration date
01/03/2007
Last updated
02/05/2020
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