Individual
DR. PAUL AMBROSINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4641 ROOSEVELT BLVD, SUITE C229, PHILADELPHIA, PA 19124-2343
(215) 831-4811
(215) 831-2603
Mailing address
40 MARTIN GROSS DR, LANGHORNE, PA 19047-1616
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD041072E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001136540
—
PA
Enumeration date
06/13/2006
Last updated
11/02/2018
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