Individual
G S PETER GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
732 S 8TH STREET, PHILADELPHIA, PA 19147
(215) 922-4707
(215) 922-4709
Mailing address
732 S 8TH STREET, PHILADELPHIA, PA 19147
(215) 922-4707
(215) 922-4709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S003559L
PA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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