Individual
GERALD J ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7957
Mailing address
PO BOX 49, PITTSBURGH, PA 15230-0049
(412) 937-5726
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD039723E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012074460011
—
PA
01
—
R0614712
HIGHMARK
PA
Enumeration date
10/03/2005
Last updated
02/14/2011
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