Ms. Rita L Ambrose, SPECIALIST
Specialist in 688, Massachusetts
1144462664- Practice location
- 21 Walden Square Road, Unit, 688, MA 02140-3434
- Phone
- 617-955-2335
- Fax
- —
- Last updated
- December 31, 2019
Rita Lee Ambrose is a Specialist based in 688, MA. Rita Lee Ambrose practices in 688, MA and has the professional credentials of SPECIALIST. The NPI Number for Rita Lee Ambrose is 1144462664 and holds a License No. EIN 11.3677013 (FL). The current practice location address for Rita Lee Ambrose is 21 Walden Square Road, Unit, 688, MA 02140-3434 and can be reached out via phone at 617-955-2335.
Provider Profile Details
- NPI Number
- 1144462664
- Provider Name
- Rita Lee Ambrose
- Credential
- SPECIALIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Walden Square Road, Unit, 688, MA 02140-3434
- Phone Number
- 617-955-2335
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 30, 2009
- Last Update Date
- December 31, 2019
- Certification Date
- December 31, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Walden Square Road
Unit
688, MA 02140-3434 - City
- 688
- State
- Massachusetts
- Zip
- 02140-3434
- Phone Number
- 617-955-2335
Provider Business Mailing Address Details
- Address
- 21 Waldensquare Road
Unit 688
North Cambridge, MA 02140-3434 - City
- North Cambridge
- State
- MA
- Zip
- 02140-3434
- Phone Number
- 337-222-1444
License Information
- License Number (1)
- EIN 11.3677013
- License State (1)
- FL
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 113677013
- License State (2)
- FL
- Taxonomy (2)
- Specialist · 174400000X
- License Number (3)
- 11.3677013
- License State (3)
- FL
- Taxonomy (3)
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near 688, MA
View all Specialists in 688 →Frequently Asked Questions
What is the NPI number of Ms. Rita L Ambrose, SPECIALIST?
The NPI number of Ms. Rita L Ambrose, SPECIALIST is 1144462664. It was assigned on March 30, 2009 and is currently active in the NPPES registry.
What is the specialty of Ms. Rita L Ambrose, SPECIALIST?
Ms. Rita L Ambrose, SPECIALIST is registered under the primary taxonomy Specialist (code 174400000X), licensed in FL under license number EIN 11.3677013.
Where does Ms. Rita L Ambrose, SPECIALIST practice?
The practice location is 21 Walden Square Road, Unit, 688, MA 02140-3434. The office can be reached at 617-955-2335 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144462664 directly on the NPPES registry website.