Ross, Jerome

Ross, Jerome is an individual health care provider with primary practice located at 1001 Pine Heights Ave , Baltimore MD 21229-5208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ross, Jerome can be contacted via phone (410) 644-9515.

Contact Information

Primary practice address
1001 Pine Heights Ave Baltimore MD 21229-5208
Phone: (410) 644-9515
Fax: (410) 644-8250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0009835 Maryland

Profile Details

NPI number 1093711418
LBN Legal business name Ross, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 5th, 2011 - about 14 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 1093711418 NPPES
Maryland Other 36069 MAMSI
Maryland Other 452862 MAMSI
Maryland MEDICAID 018041600 MAMSI
Maryland Other 5322-0001 MAMSI

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