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Dr. Christopher D Ross
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Christopher D Ross |
Gender: | M |
Provider License Number If Given: | N004130-1 |
NPI Information:
NPI: | 1407855950 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/18/2005 |
Last Update Date: | 10/23/2014 |
Provider Business Mailing Address:
Address: | 198 ROUTE 22 Pawling, NY 12564 |
Phone Number: | 8458551853 |
Fax Number: | 8458554687 |
Provider Business Practice Location Address:
Address: | 198 ROUTE 22 Pawling, NY 12564 |
Phone Number: | 8458551853 |
Fax Number: | 8458554687 |
Provider Taxonomy:
Primary: | 213E00000X |
Secondary (if any): | |
State: | NY |