Individual
DR. LAURENCE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
167 MAIN STREET, RIDGEFIELD PARK, NJ 07660
(201) 440-0330
(201) 440-2025
Mailing address
167 MAIN STREET, RIDGEFIELD PARK, NJ 07660
(201) 440-0330
(201) 440-2025
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD0001215
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0793809
—
NJ
Enumeration date
12/22/2006
Last updated
03/11/2008
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