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Individual

DR. JAYASEELAN AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1464
(814) 375-3722
(814) 375-3363
Mailing address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1464
(814) 375-3722
(814) 375-3363

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD061321L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD061321L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01757982
PA
Enumeration date
06/24/2005
Last updated
03/26/2026
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