Individual
PATRICK M AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3663 ROUTE 9 N STE 102, OLD BRIDGE, NJ 08857-3518
(732) 679-7575
(732) 707-3850
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MB06781700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2214411000
AMERIHEALTH
NJ
01
—
7949319
AETNA
NJ
Enumeration date
07/03/2006
Last updated
07/18/2025
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