Organization
ATLANTIC ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L GROSS MD (OWNER)
(732) 695-2555
Entity
Organization
Contact information
Practice address
802 W PARK AVE, STE 213, OCEAN, NJ 07712
(732) 695-2555
(732) 695-2552
Mailing address
802 W PARK AVE, STE 213, OCEAN, NJ 07712
(732) 695-2555
(732) 695-2552
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7315805
—
NJ
Enumeration date
06/28/2006
Last updated
05/28/2010
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