Individual
JENNIFER J GROSS-EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1356 MAIN ST, NORTHAMPTON, PA 18067-1798
(610) 262-3417
(610) 262-1404
Mailing address
1356 MAIN ST, NORTHAMPTON, PA 18067-1798
(610) 262-3417
(610) 262-1404
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004802L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101757395-0003
—
PA
Enumeration date
06/28/2005
Last updated
05/17/2022
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