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Contact Information

MICHAEL ROSS SPORTS MEDICINE
1159 MORRIS RD
WYNNEWOOD, PA19096-2236
 Phone: 610-952-6452
 Fax: 484-412-8385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for MICHAEL ROSS SPORTS MEDICINE

NPI # 1902043565
LBN Legal business name MICHAEL ROSS SPORTS MEDICINE
Authorized official MICHAEL ROSS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2009
Last updated 01/19/2009 - About 17 years ago
Identifiers
PA License # MD430033
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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