Individual
MICHAEL R D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8955
(717) 531-4587
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
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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