Individual
DR. MARTIN P AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3095 DAYTON XENIA RD STE 900, BEAVERCREEK, OH 45434-4305
(937) 458-4010
(937) 458-4019
Mailing address
8881 NORTH MAIN STREET, DAYTON, OH 45415-1333
(937) 832-5292
(937) 832-7505
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
060025
OH
207RP1001X
Pulmonary Disease Physician
Primary
060025
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35.060025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0790907
—
OH
Enumeration date
07/17/2006
Last updated
03/19/2018
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