Gross, Jeffrey L.

Gross, Jeffrey L. is an individual health care provider with primary practice located at 75 Kings Highway Cutoff 5Th Floor, Fairfield CT 06824-5340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gross, Jeffrey L. can be contacted via phone (203) 333-1133.

Contact Information

Primary practice address
75 Kings Highway Cutoff 5Th Floor Fairfield CT 06824-5340
Phone: (203) 333-1133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 025497 Connecticut

Profile Details

NPI number 1770549180
LBN Legal business name Gross, Jeffrey L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 1st, 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 1770549180 NPPES
Connecticut MEDICAID 001254978
Connecticut Other 010025497CT01

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