Individual
DR. GERALD L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1622 W OREGON AVE, PHILADELPHIA, PA 19145-4543
(215) 755-6820
(215) 755-9706
Mailing address
1622 W OREGON AVE, PHILADELPHIA, PA 19145-4543
(215) 755-6820
(215) 755-9706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET008972
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01406655
—
PA
Enumeration date
05/10/2007
Last updated
07/08/2007
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