Individual
DR. MITCHELL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE # SPAN221, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
278561
MA
390200000X
Student in an Organized Health Care Education/Training Program
268275
MA
Other
Enumeration date
06/06/2016
Last updated
10/15/2019
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