Individual
DR. RENEE A D'AMBROSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47661
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-1862
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020300
KAISER COMMERCIAL NUMBER
CO
05
—
09785370
—
CO
Enumeration date
01/26/2007
Last updated
05/06/2021
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