Individual
DR. JAMIEL J AMBRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 KINGSTOWN RD, UNIT B5, WAKEFIELD, RI 02879-3011
(401) 783-1022
(401) 783-4004
Mailing address
730 KINGSTOWN RD, UNIT B5, WAKEFIELD, RI 02879-3011
(401) 783-1022
(401) 783-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
214029
MA
207Q00000X
Family Medicine Physician
Primary
MD10880
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JA84304
—
RI
Enumeration date
10/11/2005
Last updated
01/13/2012
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