Gino Grosso MD

NPI 1063436491 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063436491
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1930 MARLTON PIKE E
SUITE G-38
CHERRY HILL NJ, 08003-2150, US
Phone (856) 751-7280
Fax (856) 751-7209
Business Location
1930 MARLTON PIKE E
SUITE G-38
CHERRY HILL NJ, 08003-2150, US
Phone (856) 751-7280
Fax (856) 751-7209
Toxanomy
Taxonomy Code 2084P0800X
License State New Jersey
License Number 25MA05176000
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According to our database, Gino Grosso MD NPI is 1063436491, taxonomy code is 2084P0800X and license number is 25MA05176000, license state is located at New Jersey. Gino Grosso MD physically located at 1930 Marlton Pike E, Cherry Hill NJ, 08003-2150. NPI Number Gino Grosso MD has the Individual type.

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1063436491 NPI number is provided on an as is basis without warranty of any kind. 1063436491 is maintained by the National Plan & Provider Enumeration System. The contents of Gino Grosso MD are for informational purposes only.