Individual
BRENNAN M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2324
(201) 387-0177
Mailing address
19 S WASHINGTON AVE, BERGENFIELD, NJ 07621-2324
(201) 387-0177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00674600
NJ
Other
Enumeration date
06/05/2018
Last updated
12/29/2024
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