Individual
ROSS J TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
5 ALEXANDRIA DR, FRANKLIN, MA 02038-4239
(774) 287-5446
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2339480
MA
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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