Provider Demographics
NPI:1922097104
Name:ROSS, DONALD G (MD)
Entity Type:Individual
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First Name:DONALD
Middle Name:G
Last Name:ROSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:460 TOTTEN POND RD
Mailing Address - Street 2:C/O MZI
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1991
Mailing Address - Country:US
Mailing Address - Phone:781-890-9933
Mailing Address - Fax:781-890-9950
Practice Address - Street 1:70 EAST ST
Practice Address - Street 2:ATTN: PATHOLOGY DEPT
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4597
Practice Address - Country:US
Practice Address - Phone:978-687-0156
Practice Address - Fax:978-691-5709
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2010-02-25
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Provider Licenses
StateLicense IDTaxonomies
MA71926207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA760377OtherTUFTS
MA3071189Medicaid
MAJ10482OtherBCBS
MA34737OtherHPHC
MA34737OtherHPHC
E68107Medicare UPIN