Individual
DR. JENNY ALLEN VAN AMBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BPHARM, PHARMD, CDE
Contact information
Practice address
NEPONSET HEALTH CENTER, 398 NEPONSET AVE, DORCHESTER, MA 02122
(617) 282-3200
(617) 282-1582
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
(617) 282-1582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
046903-1
NY
183500000X
Pharmacist
Primary
25350
MA
Other
Enumeration date
10/04/2005
Last updated
07/25/2007
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