Individual
MR. VINCENT LUCIANO ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
442 N MAIN AVE, SCRANTON, PA 18504
(570) 347-5605
(570) 347-5606
Mailing address
442 N MAIN AVE, SCRANTON, PA 18504
(570) 347-5605
(570) 347-5606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD009571E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400787
—
PA
01
—
35025
ESPN
PA
Enumeration date
08/29/2006
Last updated
07/08/2007
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