Individual
ANDREW JONATHAN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9485 MENTOR AVE STE 3, MENTOR, OH 44060-8711
(440) 205-5788
(440) 205-5781
Mailing address
11919 CLARIDON TROY RD, CHARDON, OH 44024-8441
(330) 805-0162
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35.147954
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.246406
OH
Other
Enumeration date
04/28/2018
Last updated
08/31/2023
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