Individual
AMBAR SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66A SW CUTOFF, NORTHBOROUGH, MA 01532-2112
(786) 372-1427
Mailing address
66A SW CUTOFF, NORTHBOROUGH, MA 01532-2112
(786) 372-1427
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100222946376
MASSHEALTH
MA
Enumeration date
05/02/2021
Last updated
05/02/2021
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