Individual
PAUL ROBERT AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, LLA, BOSTON, MA 02118-2526
(617) 638-6287
Mailing address
725 ALBANY ST, LLA, BOSTON, MA 02118-2526
(617) 638-6287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5879
MA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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