Individual
MARIETTA S AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
(215) 615-4949
Mailing address
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD443028
PA
Other
Enumeration date
07/13/2007
Last updated
02/12/2014
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