Individual
ROSS MUDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-3444
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
179698
CA
208600000X
Surgery Physician
Primary
335301
NY
Other
Enumeration date
03/30/2020
Last updated
10/16/2025
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