Individual
MR. JOEL S ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 PAVILION AVENUE, LONG BRANCH, NJ 07740
(732) 571-1535
(732) 571-5115
Mailing address
4 INDUSTRIAL WAY W, EATONTOWN, NJ 07724-4238
(732) 263-0101
(732) 263-0024
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA47821
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904503
—
NJ
Enumeration date
01/29/2007
Last updated
03/04/2014
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