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Individual

JOHN D'AMBROSIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
15 CAMPUS BLVD, SUITE 200, NEWTOWN SQUARE, PA 19073-3200
(484) 420-2554
Mailing address
15 CAMPUS BLVD, SUITE 200, NEWTOWN SQUARE, PA 19073-3200
(484) 420-2554

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB07926800
NJ

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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