Gross, Ian

Gross, Ian is an individual health care provider with primary practice located at 20 York St Ynhh (Children'S) West Pavilion - 2Nd Floor, New Haven CT 06504-8900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Gross, Ian can be contacted via phone (203) 688-2320.

Contact Information

Primary practice address
20 York St Ynhh (Children'S) West Pavilion - 2Nd Floor New Haven CT 06504-8900
Phone: (203) 688-2320
Fax: (203) 688-5426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 016410 Connecticut

Profile Details

NPI number 1467435685
LBN Legal business name Gross, Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 7th, 2008 - about 16 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 1467435685 NPPES
Connecticut MEDICAID 001164102

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