| Joseph E Ambrose Do | |
|
875 Hospital Road Indiana PA 15701-3662 | |
| (724) 463-9700 | |
| (724) 463-9702 |
| Full Name | Joseph E Ambrose Do |
|---|---|
| Speciality | Internal Medicine |
| Location | 875 Hospital Road, Indiana, Pennsylvania |
| Authorized Official Name and Position | Joseph Edward Ambrose (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7243499430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph E Ambrose Do 100 Christy Park Dr Indiana PA 15701-1584 Ph: (724) 349-9430 | Joseph E Ambrose Do 875 Hospital Road Indiana PA 15701-3662 Ph: (724) 463-9700 |
| NPI Number | 1568417186 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568417186 | NPI | - | NPPES |
| AM462289 | Other | PA | PA BLUE SHIELD |
| 0009281810005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 05004831L (Pennsylvania) | Primary |
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