Margo Ruth Gross LLC

Organization Active NPI Multi-Specialty Clinic/Center · Redding, CT

NPI 1992135396 · NPPES record last updated Oct 23, 2016

Key facts

NPI
1992135396
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
License
000097 (CT)
Legal business name
MARGO RUTH GROSS LLC
Practice address
15 Poverty Hollow Rd
27 Governors Street, Riddgefield, CT 06877
Redding, CT 06896-3005
Phone
(203) 938-2308
Fax
(203) 938-2308
NPI assigned
Nov 21, 2013
Organization subpart
No

Authorized official

Name
Margo Ruth Gross, EDD, OTR/L, LMFT, LM
Title
Owner
Phone
(203) 938-2308

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

15 Governor St
Ridgefield, CT 06877
Phone (203) 938-2308

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 000097 CT Yes
Multi-Specialty Clinic/Center 261QM1300X 000517 CT
Multi-Specialty Clinic/Center 261QM1300X 000083 CT

Addresses

Primary practice location

15 Poverty Hollow Rd
27 Governors Street, Riddgefield, CT 06877
Redding, CT 06896-3005

Mailing address

15 Poverty Hollow Rd
Redding, CT 06896-3005
Phone (203) 938-2308

Other names

  • Ridgefield Visiting Nurse Association Other name

Other providers in Redding, CT

All providers in Redding, CT · Multi-Specialty Clinic/Center in Connecticut

Sources for this page

Verify at the official NPI Registry.