Individual
DR. WIDMAYER AMBROISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 PARK ST APT 2, ATTLEBORO, MA 02703-2363
(774) 719-3922
Mailing address
55 PARK ST APT 2, ATTLEBORO, MA 02703-2363
(774) 719-3922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171R00000X
Interpreter
—
MA
172A00000X
Driver
—
MA
225800000X
Recreation Therapist
—
MA
225C00000X
Rehabilitation Counselor
—
MA
251K00000X
Public Health or Welfare Agency
—
MA
251S00000X
Community/Behavioral Health Agency
—
MA
253Z00000X
In Home Supportive Care Agency
Primary
—
MA
372500000X
Chore Provider
—
MA
372600000X
Adult Companion
—
MA
376J00000X
Homemaker
—
MA
385HR2055X
Child Mental Illness Respite Care
—
MA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
MA
Other
Enumeration date
10/07/2021
Last updated
05/02/2022
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