Midler, Ross Sanford

Midler, Ross Sanford is an individual health care provider with primary practice located at 31 Hall Dr Amherst Medical Center, Amherst MA 01002-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Midler, Ross Sanford can be contacted via phone (413) 256-8561.

Contact Information

Primary practice address
31 Hall Dr Amherst Medical Center Amherst MA 01002-2751
Fax: (413) 256-4421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41611 Massachusetts

Profile Details

NPI number 1740280023
LBN Legal business name Midler, Ross Sanford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jun 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740280023 NPPES
Massachusetts MEDICAID 3028011
Massachusetts Other J06884

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