Individual
MARC ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
401 S VAN BRUNT ST, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
(201) 569-1774
Mailing address
401 S VAN BRUNT ST, ENGLEWOOD, NJ 07631-4604
(201) 569-2770
(201) 569-1774
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00116500
NJ
Other
Enumeration date
05/22/2006
Last updated
09/19/2007
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