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Individual

DR. GUNASEELAN AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 REHILL AVE, SUITE 3300, SOMERVILLE, NJ 08876-2500
(908) 927-8994
(908) 927-8995
Mailing address
30 REHILL AVE, SUITE 3300, SOMERVILLE, NJ 08876-2500
(908) 927-8994
(908) 927-8995

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
217173
NY
208600000X
Surgery Physician
Primary
25MA07710100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02166654
NY
Enumeration date
07/26/2005
Last updated
09/28/2012
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