Gross, Gary Lance
Gross, Gary Lance is an individual health care provider with primary practice located at 802 W Park Ave Ste 213, Ocean NJ 07712-8526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Gross, Gary Lance can be contacted via phone (732) 695-2555.Contact Information
Primary practice address
802 W Park Ave Ste 213
Ocean NJ 07712-8526
Phone: (732) 695-2555
Fax: (732) 695-2552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 25MA04805600 | New Jersey |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MA048056 | New Jersey |
Profile Details
| NPI number | 1336143247 |
|---|---|
| LBN Legal business name | Gross, Gary Lance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Oct 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336143247 | NPPES |
| New Jersey | MEDICAID | 3408400 | |
| New Jersey | Other | 029133ZKRP | |
| New Jersey | Other | 029133ZVF5 |
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