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Individual

MR. PAUL K GROSS

Active
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Individual

MR. PAUL K GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD014403E
PA
2084P0800X
Psychiatry Physician
Primary
MD014403E
PA
2084P0805X
Geriatric Psychiatry Physician
MD014403E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005529530001
PA
01
004780000
MAGELLAN
01
01197501
CAPITAL BLUE CROSS
PA
01
163384
HIGHMARK BLUE SHIELD
PA
01
260045197
RAILROAD MEDICARE
PA
01
P711319
OXFORD
Enumeration date
08/21/2006
Last updated
11/14/2025
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