Barry J Gross in Fair Haven - Addiction Medicine
Barry J Gross - NPI 1811952294
Barry J Gross is a Addiction Medicine in Fair Haven, Michigan. Barry J Gross practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Barry J Gross is 1811952294. The last update date is 2022-02-16.
Barry J Gross's current location address is 9838 Dixie Hwy, Fair Haven, Michigan. You can contact this provider via phone number 5867259611 and fax number 5867252630. The mailing address for Barry J Gross is 9838 Dixie Hwy, Fair Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry J Gross |
|---|---|
| Address | 9838 Dixie Hwy, Fair Haven, Michigan |
| Phone Number | 5867259611 |
| Fax Number | 5867252630 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1811952294 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2022-02-16 |
Provider Mailing Address Detail
| Address | 9838 Dixie Hwy |
|---|---|
| City | Fair Haven |
| State | Michigan (MI) |
| Post Code | 480232813 |
| Phone Number | 5867259611 |
| Fax Number | 5867252630 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 5101007067 |
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Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1097101 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Barry J Gross by the Centers for Medicare & Medicaid Services?
The Barry J Gross has been assigned the NPI (National Provider Identifier) 1811952294 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Barry J Gross's facilities are situated?
The facilities of Barry J Gross are physically located at the following address: 9838 Dixie Hwy, Fair Haven, MI, 480232813.
What is Barry J Gross's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Barry J Gross is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0401X.
On what date did the Barry J Gross receive the assignment of its 1811952294 from the Centers for Medicare & Medicaid Services?
The Barry J Gross was issued its 1811952294 by the Centers for Medicare & Medicaid Services on 2006-04-19.
When was the information pertaining to Barry J Gross most recently updated or revised?
The details related to Barry J Gross, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-16.