Individual
DR. MARIA G AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
911 VALLEY RD, WAYNE, NJ 07470-2973
(973) 694-9080
(973) 694-9084
Mailing address
911 VALLEY RD, WAYNE, NJ 07470-2973
(973) 694-9080
(973) 694-9084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15610
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639398316
NATIONAL PROVIDER IDENTIFIER
NJ
Enumeration date
12/29/2014
Last updated
12/29/2014
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