Individual
KENNETH M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 473-3600
(973) 473-3661
Mailing address
293 PASSAIC ST, PASSAIC, NJ 07055-5803
(973) 473-3600
(973) 473-3661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00492900
NJ
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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