NPI 1306909338 · live from the CMS NPI Registry
Peter L Gross, MD
Urology in Prince Frederick, MD. National Provider Identifier 1306909338, active.
NPI record
| NPI | 1306909338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Urology 208800000X |
| Practice location | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678 |
| Practice phone | 410-535-4116 |
| Mailing address | Po Box 447, Prince Frederick, MD 20678 |
| Enumerated | December 19, 2006 |
| Last updated | October 20, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Urology | 163WU0100X | MD5012 (DC) |
| Registered Nurse, Urology | 163WU0100X | 0101038308 (VA) |
| Urology primary | 208800000X | D0057592 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.