Individual
ANTHONY AMBROSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2904 CAROLYN CT, ANTIOCH, CA 94509-4952
(925) 628-7627
Mailing address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 628-7267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
08/26/2016
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