Dr. Mitchell J. Gross
Neurologist
1000 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18711-0027
Dr. Mitchell J. Gross
Neurologist
1000 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18711-0027
(570) 271-6578
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Mitchell J. Gross
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Fax : (570) 271-6578
- Phone : (570) 271-6144
Second Address
- Dr. Mitchell J. Gross
- 1000 E Mountain Blvd
- Wilkes Barre, PA
- Zip : 18711-0027
- Fax : (570) 826-7943
- Phone : (570) 820-6028
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | MD032951E | PA |
National Provider Identifier
| NPI | 1043289945 |
|---|---|
| Provider Name | Dr. Mitchell J. Gross |
| First Address | Danville, PA 17822-4903 |
| Second Address | Wilkes Barre, PA 18711-0027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 10/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001121118 | (05) | PA |
| C33218 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.