Individual
MARJORIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON ST, GREEN #567, NEWTON, MA 02462-1650
(617) 928-1500
(617) 630-0860
Mailing address
2000 WASHINGTON ST, GREEN #567, NEWTON, MA 02462-1650
(617) 928-1500
(617) 630-0860
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
71403
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11567
HPHC
MA
05
—
3109216
—
MA
01
—
J13823
BCBSMA
MA
Enumeration date
04/21/2006
Last updated
01/09/2012
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