Shanin R Gross, D.O.
Family Medicine in Laurel Springs, NJ. Individual provider (NPI-1).
NPI number1992749535
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1992749535
- Entity type
- Individual (NPI-1)
- Name
- Shanin R Gross
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB07325900 | NJ | Yes |
| 207Q00000X | Family Medicine | OS011030L | PA |
Practice location
1405 Chews Landing Rd Ste 21Laurel Springs, NJ 08021-2769
Phone 856-483-4466 · Fax 856-483-4467
Mailing address
1405 Chews Landing Rd Ste 21Laurel Springs, NJ 08021-2769
Phone 856-483-4466 · Fax 856-483-4467
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