Individual
MR. CHARLES JOSEPH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
552 MONTAUK HWY, CENTER MORICHES, NY 11934-2207
(631) 878-9030
Mailing address
552 MONTAUK HWY, CENTER MORICHES, NY 11934-2207
(631) 878-9030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032990
NY
Other
Enumeration date
03/22/2008
Last updated
03/22/2008
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