Individual
DR. JONATHAN M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9500
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6679
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000158
—
NH
05
—
1000749
—
VT
Enumeration date
06/05/2006
Last updated
07/19/2011
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