Individual
ANTHONY FRANK GROSSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 E LAUREL BLVD, POTTSVILLE, PA 17901-2534
(570) 628-4444
(570) 628-3088
Mailing address
201 E LAUREL BLVD, POTTSVILLE, PA 17901-2534
(570) 628-4444
(570) 628-3088
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
05012190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001892154
—
PA
Enumeration date
06/28/2005
Last updated
12/10/2009
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