Individual
MR. MATTHEW PAUL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7568
(410) 740-7551
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R203259
MD
363LF0000X
Family Nurse Practitioner
Primary
R203259
MD
Other
Enumeration date
01/23/2018
Last updated
04/19/2023
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