Organization
DR. ALAN ROSS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN M ROSS OD (OWNER/ PROVIDER)
(201) 768-2433
Entity
Organization
Contact information
Practice address
270 CLOSTER DOCK RD, CLOSTER, NJ 07624-2616
(201) 768-2433
Mailing address
270 CLOSTER DOCK RD, CLOSTER, NJ 07624-2616
(201) 768-2433
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3598
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516263
MEDICARE PROVIDER 516263
NJ
Enumeration date
11/02/2011
Last updated
11/02/2011
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