Individual
DR. PAUL FRANKLIN AMBUSH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 DAYLONG LN STE 210, CLARKSVILLE, MD 21029-1655
(410) 531-7566
(410) 531-9790
Mailing address
6030 DAYBREAK CIR STE A150, CLARKSVILLE, MD 21029-1638
(410) 531-7566
(410) 531-9790
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0044955
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04134000000
PHN
MD
01
—
1203054
UNITED HEATH CARE
MD
05
—
152231100
—
MD
01
—
1808419
UNITED HEALTH CARE
MD
01
—
2101718
ALLIANCE
MD
01
—
2108817
AETNA, HMO
MD
01
—
21394
PRIORITY PARTNERS
MD
01
—
492666
NCPPO
MD
01
—
5916668
AETNA, NON-HMO
MD
01
—
8101718
MAMSI
MD
01
—
G777-0001
BLUECHOICE BC/BS MD
MD
01
—
KDV5PA
CAREFIRST BC/BS
MD
Enumeration date
07/14/2006
Last updated
09/08/2025
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