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Individual

ROBERT WATERS ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44 BINNEY STREET, D1230, BOSTON, MA 02115-6013
(617) 632-3237
Mailing address
44 BINNEY ST, D1230, BOSTON, MA 02115-6013
(617) 632-3237

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
216832
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0117126
CIGNA
05
2104261
MA
01
213832
TUFTS
01
AA38911
HPHC DFCI ONLY
01
J28701
MASSACHUSETTS BLUE CROSS
MA
Enumeration date
03/03/2006
Last updated
08/15/2007
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