Ross, Gary W

Ross, Gary W is an individual health care provider with primary practice located at 781 Keystone Industrial Park , Dunmore PA 18512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ross, Gary W can be contacted via phone (570) 558-4560.

Contact Information

Primary practice address
781 Keystone Industrial Park Dunmore PA 18512
Fax: (570) 558-4564
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD026454 Pennsylvania

Profile Details

NPI number 1598728818
LBN Legal business name Ross, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598728818 NPPES
Pennsylvania Other 469544 BS
Pennsylvania MEDICAID 0014957710003 BS

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