Individual
ALAN D M ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 RIVERSIDE DR, STE 1, AUGUSTA, ME 04330-4100
(207) 623-6355
(207) 622-0853
Mailing address
147 RIVERSIDE DR, AUGUSTA, ME 04330-4100
(207) 623-6355
(207) 622-0853
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
014778
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131670000
—
ME
Enumeration date
03/08/2006
Last updated
04/29/2011
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