Ross, Michael Jay

Ross, Michael Jay is an individual health care provider with primary practice located at 2014 Washington St Department Of Pathology, Newton MA 02462-1607. 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, Michael Jay can be contacted via phone (617) 243-6140.

Contact Information

Primary practice address
2014 Washington St Department Of Pathology Newton MA 02462-1607
Phone: (617) 243-6140
Fax: (617) 243-5809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 54450 Massachusetts

Profile Details

NPI number 1609832989
LBN Legal business name Ross, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 5th, 2007 - about 19 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 1609832989 NPPES
Massachusetts Other 054450 TUFTS HEALTH PLAN POS
Massachusetts Other 000000021384 TUFTS HEALTH PLAN POS
Massachusetts Other 803550 TUFTS HEALTH PLAN POS
Massachusetts MEDICAID 3004015 TUFTS HEALTH PLAN POS
Massachusetts Other 34280 TUFTS HEALTH PLAN POS
Massachusetts Other 34280 TUFTS HEALTH PLAN POS
Massachusetts Other 220017017 TUFTS HEALTH PLAN POS

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