Individual
DR. DAVID D GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1217 N CHURCH ST STE A, MOORESTOWN, NJ 08057
(856) 234-2828
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05510200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000616984
IND BC PPO
NJ
01
—
0445341000
AMERIHEALTH/KHPE/IND BC
NJ
01
—
0500085001
AMERIHEALTH KHPE IND BC
NJ
01
—
1039710
HORIZON NJ HEALTH
NJ
05
—
1880403
—
NJ
01
—
3126556
CIGNA
NJ
01
—
4637759
AETNA
NJ
01
—
OK2158
PHS
NJ
01
—
P395170
OXFORD
NJ
Enumeration date
01/30/2006
Last updated
10/03/2019
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