Individual
ROSS B.L. MACINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, MAUMENEE 317, BALTIMORE, MD 21287-0005
(410) 955-5214
Mailing address
PO BOX 64481, BALTIMORE, MD 21264-4481
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D70313
MD
207W00000X
Ophthalmology Physician
LP01182
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036617000
—
MD
Enumeration date
06/04/2007
Last updated
01/29/2011
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