Doctor Name: | ROSS EVAN MONROE |
NPI Number: | 1841673860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C, ATC |
License Number: | 52614 |
Business Practice Address: | 35 Bailey Dr Washington Crossing, PA - 189771007 |
Business Phone Number: | 2673429714 |
Business Fax Number: | |
Mailing Address: | 35 Bailey Dr, WASHINGTON CROSSING |
State: | PA |
Postal Code: | 189771007 |
Phone Number: | 2673429714 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2015 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 52614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |