Individual
JEFFREY L. GROSS
Active
Individual
JEFFREY L. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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