Individual
GARY W ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
781 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512
(570) 558-4560
(570) 558-4564
Mailing address
PO BOX 822227, PHILADELPHIA, PA 19182-2227
(570) 558-4560
(570) 558-4564
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD026454
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014957710003
—
PA
01
—
469544
BS
PA
Enumeration date
04/08/2006
Last updated
07/08/2007
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