Individual
DR. JAYACHIDAMBARAM AMBALAVANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 US ROUTE 1, SCARBOROUGH, ME 04074-9048
(207) 396-7700
(207) 396-7701
Mailing address
175 US ROUTE 1, SCARBOROUGH, ME 04074-9048
(207) 396-7700
(207) 396-7701
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD27390
ME
Other
Enumeration date
06/15/2019
Last updated
07/19/2024
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