Organization
EDWARD ROSS, OD
Active
Parent organization
EDWARD ROSS,D
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD ROSS,D
Authorized official
DR. EDWARD ROSS OD (OWNER)
(412) 373-9767
Entity
Organization
Contact information
Practice address
500 BROADWAY ST, PITCAIRN, PA 15140-1449
(412) 373-9767
Mailing address
500 BROADWAY ST, PITCAIRN, PA 15140-1449
(412) 373-9767
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OEG1576
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427288
—
PA
Enumeration date
03/31/2008
Last updated
03/31/2008
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