Individual
DR. MARIA SOCORRO AMBULO GERONIMO
Active
Individual
DR. MARIA SOCORRO AMBULO GERONIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-00713
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2012-00713
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA07879400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114821
—
NJ
05
—
1811097967
—
NC
01
—
25MA07879400
STATE LICENSE
NJ
05
—
5920787
—
NC
05
—
NC1594
—
SC
Enumeration date
09/25/2006
Last updated
05/11/2026
Update your record
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