Gross, Harvey Robert

Gross, Harvey Robert is an individual health care provider with primary practice located at 370 Grand Ave Suite 102, Englewood NJ 07631-4154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Gross, Harvey Robert can be contacted via phone (201) 567-3370.

Contact Information

Primary practice address
370 Grand Ave Suite 102 Englewood NJ 07631-4154
Phone: (201) 567-3370
Fax: (201) 816-1265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA03205500 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 25MA03205500 New Jersey

Profile Details

NPI number 1407897689
LBN Legal business name Gross, Harvey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jun 2nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407897689 NPPES
Other 069663L4S PTAN
MEDICAID 3021700 PTAN

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