Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MA63713 | NJ |
N | 207VX0000X | Obstetrician | MA63713 | NJ |
NPI | 1134217292 |
---|---|
Provider Name | Dr. Arthur H. Gross |
First Address | Englewood, NJ 07631-4957 |
Second Address | Englewood, NJ 07631-4957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 17/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G30402 | (02) | NJ |