Individual
MR. JOSEPH E. AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 CHRISTY PARK DR, INDIANA, PA 15701-1584
(724) 349-9430
(724) 349-9431
Mailing address
100 CHRISTY PARK DR, INDIANA, PA 15701-1584
(724) 349-9430
(724) 349-9431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-0044831-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009281810005
—
PA
01
—
AM462289
PA BLUE SHIELD
PA
Enumeration date
07/20/2005
Last updated
10/01/2019
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