Kenneth M Gross DC

NPI 1740488709 - Chiropractor - 111N00000X

NPI Details
NPI 1740488709
Gender Male
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
293 PASSAIC ST
PASSAIC NJ, 07055-5803, US
Phone (973) 473-3600
Fax (973) 473-3661
Business Location
293 PASSAIC ST
PASSAIC NJ, 07055-5803, US
Phone (973) 473-3600
Fax (973) 473-3661
Toxanomy
Taxonomy Code 111N00000X
License State New Jersey
License Number 38MC00492900
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According to our database, Kenneth M Gross DC NPI is 1740488709, taxonomy code is 111N00000X and license number is 38MC00492900, license state is located at New Jersey. Kenneth M Gross DC physically located at 293 Passaic St, Passaic NJ, 07055-5803. NPI Number Kenneth M Gross DC has the Individual type.

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1740488709 NPI number is provided on an as is basis without warranty of any kind. 1740488709 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth M Gross DC are for informational purposes only.