Individual
MATTHEW GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6077
(212) 263-5506
Mailing address
746 MAMARONECK AVE APT 1116, MAMARONECK, NY 10543-1987
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
70340
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2015
Last updated
03/28/2022
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