Individual
DAVID J D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 978-2194
(609) 978-2843
Mailing address
PO BOX 841180, DALLAS, TX 75284-1180
(609) 978-2194
(609) 978-2843
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA08373600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175226
—
NJ
01
—
25MA08373600
NJ LICENSE
NJ
Enumeration date
04/28/2008
Last updated
06/01/2015
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