Individual
DR. LESLY A D' AMBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-2775
Mailing address
5105 N PARK DR APT 1005, PENNSAUKEN, NJ 08109-4630
(856) 986-6042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08472900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Q0140
MEDICARE PIN
NJ
05
—
7718209
—
NJ
Enumeration date
07/19/2006
Last updated
08/30/2024
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