Provider Demographics
NPI:1538472873
Name:ROSS, RONALD E (MBBS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:E
Last Name:ROSS
Suffix:
Gender:M
Credentials:MBBS
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Other - Credentials:
Mailing Address - Street 1:100 MADISON AVE.
Mailing Address - Street 2:MID. ATLANTIC SURGICAL ASSOCIATES
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-971-7300
Mailing Address - Fax:973-984-7019
Practice Address - Street 1:200 TRENTON RD - DEBORAH HEART & LUNG CENTER
Practice Address - Street 2:MID ATLANTIC SURGICAL ASSOCIATES
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015
Practice Address - Country:US
Practice Address - Phone:973-971-7300
Practice Address - Fax:973-984-7019
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA09496500208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program