Joel S. Ross M.d.,llc. | |
80 Pavilion Ave Long Branch NJ 07740-6413 | |
(732) 571-1535 | |
(732) 571-5115 |
Full Name | Joel S. Ross M.d.,llc. |
---|---|
Speciality | Internal Medicine - Geriatric Medicine |
Location | 80 Pavilion Ave, Long Branch, New Jersey |
Authorized Official Name and Position | Joel S Ross (OWNER) |
Authorized Official Contact | 7327394400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joel S. Ross M.d.,llc. Po Box 647 Holmdel NJ 07733-0647 Ph: (732) 739-4400 | Joel S. Ross M.d.,llc. 80 Pavilion Ave Long Branch NJ 07740-6413 Ph: (732) 571-1535 |
NPI Number | 1417144098 |
---|---|
Provider Enumeration Date | 09/27/2007 |
Last Update Date | 10/02/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417144098 | NPI | - | NPPES |
0904503 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | MA47821 (New Jersey) | Primary |
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