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Individual
DR. MARK J ROSS
Active
Individual
DR. MARK J ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11764
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012103
RAILROAD MEDICARE
SC
01
—
276873
PRIVATE HEALTHCARE SYSTEM
SC
01
—
4254796
AETNA
SC
01
—
621812
SELECT HEALTH
SC
05
—
890602C
—
NC
01
—
9624212
GHI
SC
05
—
AT6689
—
SC
01
—
S327574
CIGNA
SC
Enumeration date
05/27/2005
Last updated
02/14/2024
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