Ambama Clinic Pc in Brockton - Adolescent Medicine
Ambama Clinic Pc - NPI 1205992989
Ambama Clinic Pc is a Adolescent Medicine in Brockton, Massachusetts. Ambama Clinic Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Ambama Clinic Pc is 1205992989. The last update date is 2008-01-18.
Ambama Clinic Pc's current location address is 56 Cottage Grove Ave, Brockton, Massachusetts. You can contact this provider via phone number 6172960720 and fax number 6172965166. The mailing address for Ambama Clinic Pc is 56 Cottage Grove Ave, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ambama Clinic Pc |
|---|---|
| Address | 56 Cottage Grove Ave, Brockton, Massachusetts |
| Phone Number | 6172960720 |
| Fax Number | 6172965166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Patel J Ashok |
| Credentials | M.D. |
| Telephone Number | 6172960720 |
NPI Number Detail
| NPI Number | 1205992989 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 56 Cottage Grove Ave |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23016347 |
| Phone Number | 6172960720 |
| Fax Number | 6172965166 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 52194 |
|
Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9728350 | MA | -- | |
| 30542 | MA | NEIGHBORHOOD HEALTH PLAN | |
| M18330 | MA | BLUE CROSS BLUE SHIELD MA | |
| DA4008 | MA | RAILROAD MEDICARE GROUP | |
| 697380 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ambama Clinic Pc by the Centers for Medicare & Medicaid Services?
The Ambama Clinic Pc has been issued the NPI (National Provider Identifier) 1205992989, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ambama Clinic Pc?
The Ambama Clinic Pc is physically situated at 56 Cottage Grove Ave, in the city of Brockton, state of MA, with the postal code 23016347.
What is Ambama Clinic Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ambama Clinic Pc is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 207Ra0000X.
When was the Ambama Clinic Pc's 1205992989 issued?
The Ambama Clinic Pc's 1205992989 was issued on 2006-12-28.
When was the Ambama Clinic Pc's information last updated?
The Ambama Clinic Pc's information was last updated on 2008-01-18.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH