Individual
STEFANIA ANNE D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-1340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C08026
MD
363A00000X
Physician Assistant
Primary
029671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08026
LICENSE
MD
Enumeration date
04/10/2021
Last updated
06/16/2025
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