Individual
JOLANTA TERESA AMBLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0014472
VT
207R00000X
Internal Medicine Physician
63491
CT
208M00000X
Hospitalist Physician
63491
CT
Other
Enumeration date
03/29/2016
Last updated
08/20/2019
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