Organization
JEBAMONI AMBROSE M.D.P.A.
Active
Parent organization
JEBAMONI AMBROSE M.D.P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEBAMONI AMBROSE M.D.P.A.
Authorized official
JEBAMONI AMBROSE M.D. (PRESIDENT)
(908) 874-4422
Entity
Organization
Contact information
Practice address
245 ROUTE 206, HILLSBOROUGH, NJ 08844-4139
(908) 874-4422
(908) 874-8077
Mailing address
245 ROUTE 206, HILLSBOROUGH, NJ 08844-4139
(908) 874-4422
(908) 874-8077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25573
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2731100
—
NJ
Enumeration date
04/02/2010
Last updated
04/02/2010
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