Individual
DR. JACK A ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2294
Mailing address
PO BOX 560977, ROCKLEDGE, FL 32956-0977
(321) 639-2404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
78800
CT
207L00000X
Anesthesiology Physician
ME38787
FL
261Q00000X
Clinic/Center
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068638700
—
FL
Enumeration date
10/17/2006
Last updated
07/31/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us