Individual
DR. MICHAEL L. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Mailing address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA05362900
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA05362900
NJ
Other
Enumeration date
03/08/2006
Last updated
04/21/2021
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