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Individual

GINA AMBROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
157 BALTIMORE ST STE 100, CUMBERLAND, MD 21502-2472
(301) 722-0484
(833) 903-0130
Mailing address
157 BALTIMORE ST STE 100, CUMBERLAND, MD 21502-2472
(301) 722-0484
(833) 903-0130

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H0078884
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
H0078884
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007
MD
05
104461045-0001
PA
05
124172100
FL
Enumeration date
05/03/2012
Last updated
02/25/2026
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