Individual
DR. DAVID LEWIS AMBROSE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
434 E NORWEGIAN ST, POTTSVILLE, PA 17901-3684
(570) 622-1435
(570) 622-7902
Mailing address
434 E NORWEGIAN ST, POTTSVILLE, PA 17901-3684
(570) 622-1435
(570) 622-7902
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT-000023-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007588990003
—
PA
Enumeration date
07/04/2006
Last updated
07/09/2007
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