Individual
DR. ANTHONY MICHAEL AMBROSINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2227 LINCOLN AVE, BALTIMORE, MD 21219
(443) 935-1222
Mailing address
2227 LINCOLN AVE, BALTIMORE, MD 21219
(443) 935-1222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-05717
BCBS OF AL
AL
Enumeration date
10/07/2005
Last updated
06/25/2015
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