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Organization

JOEL S. ROSS M.D.,LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOEL S ROSS M.D (OWNER)
(732) 739-4400
Entity
Organization

Contact information

Practice address
80 PAVILION AVE, LONG BRANCH, NJ 07740-6413
(732) 571-1535
(732) 571-5115
Mailing address
PO BOX 647, HOLMDEL, NJ 07733-0647
(732) 739-4400
(732) 739-8809

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
09/27/2007
Last updated
10/02/2007
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