Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD024395E | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD024395E | PA |
NPI | 1477551075 |
---|---|
Provider Name | Dr. Maurice D Gross |
First Address | Abington, PA 19001-3720 |
Second Address | Abington, PA 19001-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 13/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01611039 | (05) | PA |
C29462 | (02) | PA |