Individual
DR. STEVEN LOUIS AMBROSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 GATEWAY DR, SUITE 20A, BEL AIR, MD 21014-4268
(410) 420-7630
Mailing address
260 GATEWAY DR, SUITE 20A, BEL AIR, MD 21014-4268
(410) 420-7630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0062414
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408170600
—
MD
Enumeration date
06/22/2006
Last updated
07/08/2007
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