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Individual

WENDY L. GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77620
MA
207L00000X
Anesthesiology Physician
ME141239
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110052938A
MA
05
3107107
NH
Enumeration date
11/08/2005
Last updated
08/30/2024
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