Individual
BRION J. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, ANESTHESIA DEPT, PHILADELPHIA, PA 19114-1436
(215) 612-4088
(215) 612-4323
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033761E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010835270007
—
PA
05
—
0010835270008
—
PA
05
—
0010835270009
—
PA
01
—
0084617000
KEYSTONE IBC
PA
01
—
01083527-06
AMERICHOICE
PA
01
—
01083527-07
AMERICHOICE
PA
01
—
01083527-08
AMERICHOICE
PA
01
—
153295
HIGHMARK BLUE SHIELD
PA
01
—
30005228
KEYSTONE MERCY
PA
01
—
3056444
AETNA CONTRACT
PA
01
—
9091440
CIGNA
PA
01
—
P00002029
RAILROAD MEDICARE
PA
Enumeration date
07/04/2006
Last updated
07/12/2007
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