Healthcare Provider Details

I. General information

NPI: 1598200404
Provider Name (Legal Business Name): ROSS POLLACK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2016
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HAYWARD ST
ATTLEBORO MA
02703-2113
US

IV. Provider business mailing address

2 HAYWARD ST
ATTLEBORO MA
02703-2113
US

V. Phone/Fax

Practice location:
  • Phone: 508-431-3600
  • Fax: 508-342-1905
Mailing address:
  • Phone: 508-431-3600
  • Fax: 508-342-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number291197
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number280268
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: