MEDICARE: DR. ROSS J FOX MD

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
1	207XS0106X	Orthopaedic Hand Surgery Physician	25MA07261100	NJ
2	2086S0105X	Surgery of the Hand (Surgery) Physician	25MA07261100	NJ

General Provider Information

NPI Number	:	1689698128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSS J FOX MD

Provider Business Mailing Address
First Line	:	75 BLOOMFIELD AVE
Second Line	:	STE 102
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2735
Country	:	US
Telephone Number	:	973-664-9899
Fax Number	:	973-664-1875

Provider Business Practice Location Address
First Line	:	75 BLOOMFIELD AVE
Second Line	:	STE 102
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2735
Country	:	US
Telephone Number	:	973-664-9899
Fax Number	:	973-664-1875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	06/16/2014

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