Ambrose, Marietta S
Ambrose, Marietta S is an individual health care provider with primary practice located at 3400 Civic Center Blvd East Pavilion, 2Nd Floor, Philadelphia PA 19104-5127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Ambrose, Marietta S can be contacted via phone (215) 615-4949.Contact Information
Primary practice address
3400 Civic Center Blvd East Pavilion, 2Nd Floor
Philadelphia PA 19104-5127
Phone: (215) 615-4949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD443028 | Pennsylvania |
Profile Details
| NPI number | 1700085214 |
|---|---|
| LBN Legal business name | Ambrose, Marietta S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Feb 12th, 2014 - about 10 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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