Individual
STEWART CORY GROSS
Active
Individual
STEWART CORY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
029910
CT
2086S0105X
Surgery of the Hand (Surgery) Physician
29910
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001125
HEALTHNET
CT
05
—
001299107
—
CT
01
—
010029910CT01
BLUE CROSS BLUE SHIELD
CT
01
—
4351331
AETNA US HEALTH CARE
CT
01
—
ZS224
OXFORD
CT
Enumeration date
06/11/2007
Last updated
12/14/2007
Update your record
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