| Shanin R Gross, DO | |
|
1405 Chews Landing Rd Ste 21, Laurel Springs, NJ 08021-2769 | |
| (856) 483-4466 | |
| (856) 483-4467 |
| Full Name | Shanin R Gross |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1405 Chews Landing Rd Ste 21, Laurel Springs, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992749535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB07325900 (New Jersey) | Primary |
| 207Q00000X | Family Medicine | OS011030L (Pennsylvania) | Secondary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanin R Gross, DO 1405 Chews Landing Rd Ste 21, Laurel Springs, NJ 08021-2769 Ph: (856) 483-4466 | Shanin R Gross, DO 1405 Chews Landing Rd Ste 21, Laurel Springs, NJ 08021-2769 Ph: (856) 483-4466 |
Dr. Que-chi Vuong Wong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Chews Landing Rd, Suite 14, Laurel Springs, NJ 08021 Phone: 856-227-6575 | |
Dr. Carol Schmidt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1377 Chews Landing Rd, Laurel Springs, NJ 08021 Phone: 856-227-3434 Fax: 856-227-6001 |