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Individual
MICHAEL JAY ROSS
Active
Individual
MICHAEL JAY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
54450
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021384
BOSTON CITY HEALTH NET
MA
01
—
054450
TUFTS HEALTH PLAN POS
MA
01
—
220017017
MEDICARE RR
MA
05
—
3004015
—
MA
01
—
34280
HPHC
MA
01
—
803550
SECURE HORIZENS
MA
Enumeration date
04/25/2006
Last updated
10/05/2007
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