Provider Demographics
NPI:1457355232
Name:GROSS, JOSEPH W (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:GROSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:21 HIGHLAND AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3872
Mailing Address - Country:US
Mailing Address - Phone:978-499-3810
Mailing Address - Fax:978-462-2316
Practice Address - Street 1:21 HIGHLAND AVE
Practice Address - Street 2:STE 5
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3872
Practice Address - Country:US
Practice Address - Phone:978-499-3810
Practice Address - Fax:978-462-2316
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2014-02-11
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Provider Licenses
StateLicense IDTaxonomies
MA224290207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
92-00461OtherEVERCARE
975191OtherNETWORK HEALTH
0035649OtherNEIGHBORHOOD HEALTH PLAN
NH30205218OtherNH MEDICAID
MD468346OtherTUFTS
MAJ28902OtherBLUE CROSS BLUE SHIELD
MAAA37921OtherHARVARD PILGRIM
MA110041461AMedicaid
683105OtherHEALTHSOURCE
NH31068YOtherANTHEM BLUE CROSS
8575792OtherCIGNA
975191OtherNETWORK HEALTH
92-00461OtherEVERCARE