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Individual

DR. HENRY S GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
80 GROVE ST, RIDGEFIELD, CT 06877-4104
(203) 438-2316
(203) 431-6270
Mailing address
80 GROVE ST, RIDGEFIELD, CT 06877-4104
(203) 438-2316
(203) 431-6270

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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