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Contact Information

RUSSELL A GROSS, MD
1270 HIGHWAY 35
MIDDLETOWN, NJ07748-2014
 Phone: 732-615-3900
 Fax: 732-615-0865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RUSSELL A GROSS · (Male)

NPI # 1255305686
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA03612600
  • NJ Medicaid 1686402
  • NJ Other 200993DE4 MEDICARE
Hospital affiliation(s)
  • BAYSHORE COMMUNITY HOSPITAL - (Acute Care)
    727 N BEERS ST
    HOLMDEL, NJ 07733
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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