Individual
DR. ANDREW W GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BLACHLEY RD, STAMFORD, CT 06902
(203) 705-0935
Mailing address
PO BOX 29234, NEW YORK, NY 10087-2140
(203) 705-0935
(203) 705-0925
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
232793
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
232793
NY
207XX0801X
Orthopaedic Trauma Physician
Primary
232793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751146
—
NY
01
—
232793
LICENSE
NY
Enumeration date
05/12/2006
Last updated
12/21/2020
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