Susan H. Gross in Petaluma - Internal Medicine

Susan H. Gross - NPI 1588714380

Susan H. Gross is a Internal Medicine in Petaluma, California. Susan H. Gross practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Susan H. Gross is 1588714380. The last update date is 2021-12-08.

Susan H. Gross's current location address is 3900 Lakeville Hwy, Petaluma, California. You can contact this provider via phone number 7077653900. The mailing address for Susan H. Gross is 3900 Lakeville Hwy, Petaluma, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan H. Gross
Address 3900 Lakeville Hwy, Petaluma, California
Phone Number 7077653900
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1588714380
Provider Enumeration Date 2007-01-12
Last Updated Date 2021-12-08

Provider Mailing Address Detail

Address 3900 Lakeville Hwy
City Petaluma
State California (CA)
Post Code 949545698
Phone Number 7077653900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A85535
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A855350 CA --

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FAQs about Susan H. Gross

What is the Susan H. Gross's 1588714380?

The Susan H. Gross's NPI (National Provider Identifier) Number is 1588714380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Susan H. Gross?

The Susan H. Gross is physically situated at 3900 Lakeville Hwy, in the city of Petaluma, state of CA, with the postal code 949545698.

What is the Susan H. Gross's area of specialization and corresponding taxonomy classification?

The Susan H. Gross's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Susan H. Gross receive the assignment of its 1588714380 from the Centers for Medicare & Medicaid Services?

The Susan H. Gross was issued its 1588714380 by the Centers for Medicare & Medicaid Services on 2007-01-12.

As of what date were the details pertaining to Susan H. Gross last refreshed?

The information related to the Susan H. Gross, including its address, specialty, and other relevant details, was last updated on 2021-12-08.

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