Individual
MARGARET GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
495 ROUTE 184 STE 120, GROTON, CT 06340-6811
(860) 449-8882
Mailing address
495 ROUTE 184 STE 120, GROTON, CT 06340-6811
(860) 449-8882
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042172
CT
208000000X
Pediatrics Physician
42172
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421726
—
CT
01
—
001421726-00
BLUE CARE FAMILY PLAN
—
01
—
010042172CT01
BLUE CROSS
—
01
—
06-1556110
NORTHEAST DIRECT
—
01
—
2V5194
HEALTH NET
—
01
—
3512777
AETNA
—
01
—
P3304933
OXFORD
—
Enumeration date
09/25/2006
Last updated
11/07/2024
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