Individual
DR. NAOMI AMBALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
266 KING GEORGE RD STE G, WARREN, NJ 07059-5187
(908) 647-8847
Mailing address
266 KING GEORGE RD, SUITE G, WARREN, NJ 07059
(908) 647-8847
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MB09744300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2012
Last updated
03/17/2018
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