Organization
FRED M. GROSS, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED MICHAEL GROSS PSY.D. (PRESIDENT)
(856) 222-1840
Entity
Organization
Contact information
Practice address
715 E MAIN ST, MOORESTOWN, NJ 08057-3031
(856) 222-1840
Mailing address
715 E MAIN ST, MOORESTOWN, NJ 08057-3031
(856) 222-1840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00302000
NJ
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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