Individual
DR. OREN AMBALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1561 ROUTE 9W, LAKE KATRINE, NY 12449-5410
(845) 231-5600
Mailing address
125 PATERSON ST STE 3100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA1004800
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
292454
NY
Other
Enumeration date
06/07/2013
Last updated
08/07/2018
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