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Individual

STEWART CORY GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2660 MAIN ST STE 311, BRIDGEPORT, CT 06606-5301
(203) 367-4008
(203) 368-0292
Mailing address
2660 MAIN ST STE 311, BRIDGEPORT, CT 06606-5301
(203) 367-4008
(203) 368-0292

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
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