Robert B Gross, OD | |
77 Mass Ave, Medical E23-2s, Cambridge, MA 02139-4301 | |
(617) 253-4351 | |
Not Available |
Full Name | Robert B Gross |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 77 Mass Ave, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245204403 | NPI | - | NPPES |
W16397 | Other | MA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2913 (Massachusetts) | Primary |
Provider Name | Massachusetts Institute Of Technology |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346308723 PECOS PAC ID: 5597658666 Enrollment ID: O20040203000789 |
Mailing Address | Practice Location Address |
---|---|
Robert B Gross, OD Po Box 425789, Medical E23-2s, Cambridge, MA 02142-0015 Ph: (617) 253-4351 | Robert B Gross, OD 77 Mass Ave, Medical E23-2s, Cambridge, MA 02139-4301 Ph: (617) 253-4351 |
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