Provider Demographics
NPI:1588603674
Name:GROSS, LINDA B (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:B
Last Name:GROSS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12 ACRON RD
Mailing Address - Street 2:APT.#1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7738
Mailing Address - Country:US
Mailing Address - Phone:617-277-7688
Mailing Address - Fax:
Practice Address - Street 1:1693 BEACON ST
Practice Address - Street 2:1-R
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-4494
Practice Address - Country:US
Practice Address - Phone:617-277-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2010-03-24
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Provider Licenses
StateLicense IDTaxonomies
MA595032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry