Individual
DONNA M AMBROSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MASS BIOLOGIC LABS, 305 SOUTH ST., JAMAICA PLAIN, MA 02130
(617) 983-6416
Mailing address
214 PERKINS STREET, UNIT H-101, JAMAICA PLAIN, MA 02139
(617) 983-6416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47141
MA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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