Healthcare Provider Details

I. General information

NPI: 1467247635
Provider Name (Legal Business Name): ANTHONY ROSSI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4803 MELOCHE
MONTREAL QUEBEC
H9J1Y9
CA

IV. Provider business mailing address

4803 MELOCHE
MONTREAL QUEBEC
H9J1Y9
CA

V. Phone/Fax

Practice location:
  • Phone: 514-934-1934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number3017745
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: