Individual
PAUL R GROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 S 8TH ST, PHILADELPHIA, PA 19107-5505
(215) 928-1493
(215) 928-1786
Mailing address
220 S 8TH ST, PHILADELPHIA, PA 19107-5505
(215) 928-1493
(215) 928-1786
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD028614L
PA
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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