| Nicole Ambrose, DO | |
|
15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | |
| (877) 388-2778 | |
| (856) 252-1100 |
| Full Name | Nicole Ambrose |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 15000 Midlantic Dr, Mount Laurel, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346801248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | OT019521 (Pennsylvania) | Secondary |
| 208800000X | Urology | 25MB12093700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ambrose, DO 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Nicole Ambrose, DO 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 Ph: (877) 388-2778 |
Dr. Adam Dean Perzin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 15000 Midlantic Dr, Suite 100, Mount Laurel, NJ 08054 Phone: 856-252-1000 Fax: 856-252-1100 | |
Dr. Kelly Lynn Olsen, DO Urology Medicare: Medicare Enrolled Practice Location: 15000 Midlantic Dr, Mount Laurel, NJ 08054 Phone: 877-388-2778 Fax: 856-252-1100 | |
Dr. Paul Chialastri, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 15000 Midlantic Dr Ste 100, Mount Laurel, NJ 08054 Phone: 877-388-2778 Fax: 856-252-1100 |