Individual
GARY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 DREW AVE, STE 100, DAVIS, CA 95618-1628
(530) 771-0177
(530) 771-0135
Mailing address
1550 DREW AVE, STE 100, DAVIS, CA 95618-1628
(530) 771-0177
(530) 771-0135
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32510
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235816
CIGNA
MA
01
—
0709026
UNITED HEALTH CARE
MA
01
—
4294344
AETNA
MA
01
—
700800
TUFTS HEALTH PLAN
MA
01
—
D32621
HARVARD PILGRIM
MA
01
—
M07809
BCBS OF MA
MA
Enumeration date
12/27/2006
Last updated
06/27/2016
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