| Fred M. Gross, Psy.d., P.c. | |
|
715 E Main St Moorestown NJ 08057-3031 | |
| (856) 222-1840 | |
| Not Available |
| Full Name | Fred M. Gross, Psy.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 715 E Main St, Moorestown, New Jersey |
| Authorized Official Name and Position | Fred Michael Gross (PRESIDENT) |
| Authorized Official Contact | 8562221840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred M. Gross, Psy.d., P.c. 715 E Main St Moorestown NJ 08057-3031 Ph: (856) 222-1840 | Fred M. Gross, Psy.d., P.c. 715 E Main St Moorestown NJ 08057-3031 Ph: (856) 222-1840 |
| NPI Number | 1497989156 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 0648329797 |
|---|---|
| Medicare Enrollment ID | O20090519000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497989156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00302000 (New Jersey) | Primary |
| Provider Name | Fred M Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710071279 PECOS PAC ID: 9931142783 Enrollment ID: I20050602001195 |
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