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1306890249
MARC ROSS
ENGLEWOOD, NJ
NPI
1306890249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NJ 25MP00116500)
Enumeration Date
2006-05-22
Last Update Date
2007-09-19
Business Address
-- MARC ROSS PA
401 S VAN BRUNT ST
ENGLEWOOD, NJ 07631-4604
Phone number: 201-569-2770
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Mailing Address
-- MARC ROSS PA
401 S VAN BRUNT ST
ENGLEWOOD, NJ 07631-4604
Phone number: 201-569-2770
Copy
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