Individual
MARIA DICENSO AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, PLASTIC SURGERY DEPT. HUNNEWELL ONE, BOSTON, MA 02115-5724
(617) 355-6919
(617) 738-1657
Mailing address
300 LONGWOOD AVE, PLASTIC SURGERY DEPT. HUNNEWELL ONE, BOSTON, MA 02115-5724
(617) 355-6919
(617) 738-1657
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
256546
MA
Other
Enumeration date
06/02/2008
Last updated
07/24/2017
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