Organization
AMBASSADOR MEDICAL DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON STEFANSY (CONTROLLER)
(732) 730-9280
Entity
Organization
Contact information
Practice address
619 RIVER AVENUE, LAKEWOOD, NJ 08701
(732) 367-1133
(732) 370-1087
Mailing address
643 CROSS ST, LAKEWOOD, NJ 08701
(732) 730-9280
(732) 730-8407
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
080187
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111741
—
NJ
Enumeration date
02/26/2007
Last updated
08/22/2020
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