Gross, Laurence

Gross, Laurence is an individual health care provider with primary practice located at 167 Main Street , Ridgefield Park NJ 07660. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gross, Laurence can be contacted via phone (201) 440-0330.

Contact Information

Primary practice address
167 Main Street Ridgefield Park NJ 07660
Phone: (201) 440-0330
Fax: (201) 440-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD0001215 New Jersey

Profile Details

NPI number 1679638415
LBN Legal business name Gross, Laurence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Mar 11th, 2008 - about 18 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 1679638415 NPPES
New Jersey MEDICAID 0793809

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