Individual
DR. WENDY J ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CH DEPARTMENT OF NEUROLOGY, BOSTON, MA 02115-5724
(617) 355-6388
(617) 730-0284
Mailing address
58 WEBSTER ST, NEWTON, MA 02465-1819
(617) 965-8749
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
205333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150291
—
MA
Enumeration date
07/20/2006
Last updated
07/08/2007
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