Organization
DUBOIS REGIONAL CARDIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYASEELAN AMBROSE MD (OWNER)
(814) 375-3722
Entity
Organization
Contact information
Practice address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1464
(814) 375-3722
(814) 339-6165
Mailing address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1464
(814) 375-3722
(814) 339-6165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001967406
—
PA
Enumeration date
06/10/2006
Last updated
03/24/2026
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