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NPI Code Detail

MEDICARE: DR. MARSHA ROSS O.D.

MEDICARE:  DR. MARSHA  ROSS  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4179MA

General Provider Information

NPI Number : 1750548186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHA ROSS O.D.
Provider Business Mailing Address
First Line : 173 RT 6A
Second Line :
City : ORLEANS
State : MA
Zip : 02653-3206
Country : US
Telephone Number : 508-240-0898
Fax Number : 508-240-7122
Provider Business Practice Location Address
First Line : 173 RT 6A
Second Line :
City : ORLEANS
State : MA
Zip : 02653-3206
Country : US
Telephone Number : 508-240-0898
Fax Number : 508-240-7122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2008
Last Update Date : 05/22/2008

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Directions to “ DR. MARSHA ROSS O.D.” Practice Location

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