Individual
DR. FREDERIC R GROSS
Active
Individual
DR. FREDERIC R GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA47267
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101494000
AMERIHEALTH
NJ
01
—
0488607
MEDICAID
NJ
01
—
100004697
RAILROAD MEDICARE
NJ
01
—
103839
CHN PROVIDER NUMBER
NJ
01
—
222763
PHCS PROVIDER #
NJ
01
—
222921463
TAX ID#
NJ
01
—
443015
CIGNA PROVIDER NUMBER
NJ
01
—
69056
GHI
NJ
01
—
MS082
OXFORD PROVIDER #
NJ
01
—
OK8996
HEALTHNET
NJ
Enumeration date
01/30/2006
Last updated
02/21/2023
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