Individual
DR. SUSAN M AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD, CT 06102
(860) 545-3112
Mailing address
47 WOOD POND RD, GLASTONBURY, CT 06033-3703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
035262
CT
Other
Enumeration date
03/16/2007
Last updated
11/25/2008
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