# JEBAMONI AMBROSE M.D.P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEBAMONI AMBROSE M.D.P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962727867
- **Legal business name:** JEBAMONI AMBROSE M.D.P.A.
- **Authorized official:** JEBAMONI AMBROSE M.D. (PRESIDENT)
- **Authorized official phone:** (908) 874-4422

## Contact information

- **Practice address:** 245 ROUTE 206, HILLSBOROUGH, NJ 08844-4139
- **Practice address phone:** (908) 874-4422
- **Practice address fax:** (908) 874-8077
- **Mailing address:** 245 ROUTE 206, HILLSBOROUGH, NJ 08844-4139
- **Mailing address phone:** (908) 874-4422
- **Mailing address fax:** (908) 874-8077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25573 | NJ | Yes |

## Other

- **Enumeration date:** 04/02/2010
- **Last updated:** 04/02/2010