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Individual
MICHAEL R D'AMBROSIO
Active
Individual
MICHAEL R D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MB54553
NJ
207P00000X
Emergency Medicine Physician
Primary
OS009794L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070357140002
—
PA
05
—
2410907
—
NJ
Enumeration date
06/26/2006
Last updated
12/03/2018
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