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Organization

MICHAEL ROSS SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JORDAN ROSS M.D. (PRESIDENT)
(610) 952-6452
Entity
Organization

Contact information

Practice address
1159 MORRIS RD, WYNNEWOOD, PA 19096-2236
(610) 952-6452
(484) 412-8385
Mailing address
1159 MORRIS RD, WYNNEWOOD, PA 19096-2236
(610) 952-6452
(484) 412-8385

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD430033
PA

Other

Enumeration date
01/19/2009
Last updated
01/19/2009
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