Individual
DR. LARRY R GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2075 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
(215) 425-3700
Mailing address
2075 E ALLEGHENY AVE, PO BOX 26848, PHILADELPHIA, PA 19134-3832
(215) 425-3700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-004111-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016484690002
—
PA
Enumeration date
07/06/2006
Last updated
07/08/2007
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