Individual
HEATHER E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110135270A
—
MA
05
—
3131030
—
NH
Enumeration date
03/24/2018
Last updated
06/09/2023
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