Organization
RICHARD J ROSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ROSS ME.D (LADC1)
(508) 228-6099
Entity
Organization
Contact information
Practice address
2 AHAB DR, NANTUCKET, MA 02554-2780
(508) 228-6099
Mailing address
2 AHAB DR, NANTUCKET, MA 02554-2780
(508) 228-6099
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1172
MA
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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