Individual
DR. NATHANIEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1465 US HIGHWAY 1, EDISON, NJ 08837-2418
(732) 906-3989
Mailing address
1465 US HIGHWAY 1, EDISON, NJ 08837-2418
(732) 906-3989
(732) 494-5717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00467500
NJ
Other
Enumeration date
03/20/2007
Last updated
08/08/2012
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