Individual
MICHAEL JAY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2014 WASHINGTON ST, DEPARTMENT OF PATHOLOGY, NEWTON, MA 02462-1607
(617) 243-6140
(617) 243-5809
Mailing address
2014 WASHINGTON ST, DEPARTMENT OF PATHOLOGY, NEWTON, MA 02462-1607
(617) 243-6140
(617) 243-5809
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
54450
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021384
BOSTON CITY HEALTH NET
MA
01
—
054450
TUFTS HEALTH PLAN POS
MA
01
—
220017017
MEDICARE RR
MA
05
—
3004015
—
MA
01
—
34280
HPHC
MA
01
—
803550
SECURE HORIZENS
MA
Enumeration date
04/25/2006
Last updated
10/05/2007
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