Individual
DR. HENRY S GROSS
Active
Individual
DR. HENRY S GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
CT404
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
CT404
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
CT404
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004067898
—
CT
01
—
012737002
CIGNA CT
—
01
—
030000404CT01
BLUECROSS CT
—
01
—
030000404CT03
BLUE CROSS CT
—
01
—
2701423
EVERCARE CT
—
01
—
P17063
OXFORD CT
—
Enumeration date
08/30/2006
Last updated
11/05/2009
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