| Organization Name: | ROSS FAMILY HEALTH AND WELLNESS CENTERS, P.C |
| NPI Number: | 1174790901 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACY O ROSS (PRESIDENT) |
| Mailing Address: | 3611 Branch Ave Suite 403 Temple Hills |
| State: | MD US |
| Postal Code: | 207481242 |
| Phone Number: | 3018990007 |
| Fax Number: | 3018997008 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | D36924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |