Provider Demographics
NPI:1821177361
Name:ROSS, MARGARET STROUSSE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:STROUSSE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:ROSS
Other - Last Name:LINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:241 PERKINS ST UNIT B101
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4039
Mailing Address - Country:US
Mailing Address - Phone:617-699-9596
Mailing Address - Fax:617-353-9609
Practice Address - Street 1:900 COMMONWEALTH AVE STE 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1200
Practice Address - Country:US
Practice Address - Phone:617-353-9610
Practice Address - Fax:617-353-9609
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1211951Medicaid
MAB95234Medicare UPIN