Individual
DR. CHARLES GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
111 HIGH RIDGE RD, STAMFORD, CT 06905-3813
(203) 322-4199
(203) 329-8017
Mailing address
111 HIGH RIDGE RD, STAMFORD, CT 06905-3813
(203) 322-4199
(203) 329-8017
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
482
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004099017
—
CT
01
—
0212695002
CIGNA
CT
01
—
030000482CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
27-00926
EVERCARE
CT
01
—
3V1076
HEALTHNET
CT
01
—
607508
CONNECTICARE
CT
01
—
P383730
OXFORD
CT
Enumeration date
09/20/2005
Last updated
02/25/2009
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