Individual
DR. ROSS SANFORD MIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 HALL DR, AMHERST MEDICAL CENTER, AMHERST, MA 01002-2751
(413) 256-8561
(413) 256-4421
Mailing address
PO BOX 8019, SPRINGFIELD, MA 01102-8000
(866) 431-4077
(413) 774-7448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41611
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3028011
—
MA
01
—
J06884
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
07/28/2005
Last updated
06/16/2008
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