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Individual

MICAELA LING ROSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(865) 599-7661
Mailing address
513 PARNASSUS AVE # S321, SAN FRANCISCO, CA 94143-2205

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
1027469
MA
208200000X
Plastic Surgery Physician
Primary
PTL1100
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2019
Last updated
06/11/2026
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