Ambrose, Gunaseelan

Ambrose, Gunaseelan is an individual health care provider with primary practice located at 30 Rehill Ave Suite 3300, Somerville NJ 08876-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ambrose, Gunaseelan can be contacted via phone (908) 927-8994.

Contact Information

Primary practice address
30 Rehill Ave Suite 3300 Somerville NJ 08876-2500
Fax: (908) 927-8995
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 217173 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA07710100 New Jersey

Profile Details

NPI number 1841290517
LBN Legal business name Ambrose, Gunaseelan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 28th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841290517 NPPES
New York MEDICAID 02166654

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