D'Ambrosio, Giovanni A

D'Ambrosio, Giovanni A is an individual health care provider with primary practice located at 26 City Hall Mall Internal Medicine, Medford MA 02155-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. D'Ambrosio, Giovanni A can be contacted via phone (781) 306-5323.

Contact Information

Primary practice address
26 City Hall Mall Internal Medicine Medford MA 02155-4754
Phone: (781) 306-5323
Fax: (781) 306-5387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48496 Massachusetts

Profile Details

NPI number 1598738510
LBN Legal business name D'Ambrosio, Giovanni A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 16th, 2020 - about 4 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 1598738510 NPPES
Massachusetts Other J02194 BLUE CROSS
Massachusetts MEDICAID 3049418 BLUE CROSS
Massachusetts Other 048496 BLUE CROSS
Massachusetts Other PM162 BLUE CROSS

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