Organization
S WARREN GROSS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S WARREN GROSS M.D. (OWNER)
(610) 331-4360
Entity
Organization
Contact information
Practice address
331 WHITE HORSE PIKE, ATCO, NJ 08004-2230
(856) 809-0900
(888) 268-7603
Mailing address
131 GAITHER DR STE D, SUITE D, MOUNT LAUREL, NJ 08054-1709
(856) 234-1241
(856) 234-5608
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA05827700
NJ
2085U0001X
Diagnostic Ultrasound Physician
Primary
25MA05827700
NJ
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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