Individual
DR. TIMOTHY MICHAEL AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD451862
PA
2084N0400X
Neurology Physician
MT197867
PA
Other
Enumeration date
06/02/2010
Last updated
06/23/2016
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