Individual
JEFFREY L. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR, FAIRFIELD, CT 06824-5340
(203) 333-1133
Mailing address
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR, FAIRFIELD, CT 06824-5340
(203) 333-1133
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
025497
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001254978
—
CT
01
—
010025497CT01
ANTHEM BLUE CROSS AND BLU
CT
Enumeration date
04/25/2006
Last updated
08/01/2008
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