Ambama Clinic PC
Internal Medicine, Adolescent Medicine in Brockton, Massachusetts
1205992989- Practice location
- 56 Cottage Grove Ave, Brockton, MA 02301-6347
- Phone
- 617-296-0720
- Fax
- 617-296-5166
- Last updated
- January 18, 2008
Ambama Clinic PC is a healthcare organization based in Brockton, MA. Ambama Clinic PC practices in Brockton, MA. The NPI Number for Ambama Clinic PC is 1205992989 and holds a License No. 52194 (MA). The current practice location address for Ambama Clinic PC is 56 Cottage Grove Ave, Brockton, MA 02301-6347 and can be reached out via phone at 617-296-0720 and via fax at 617-296-5166.
Provider Profile Details
- NPI Number
- 1205992989
- Provider Name
- Ambama Clinic PC
- Provider Entity Type
- Organization
- Address
- 56 Cottage Grove Ave, Brockton, MA 02301-6347
- Phone Number
- 617-296-0720
- Fax Number
- 617-296-5166
- Primary Taxonomy
- Internal Medicine, Adolescent Medicine · 207RA0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ashok J Patel, MD · Manager · 617-296-0720
- Provider Enumeration Date
- December 28, 2006
- Last Update Date
- January 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Cottage Grove Ave
Brockton, MA 02301-6347 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-6347
- Phone Number
- 617-296-0720
- Fax Number
- 617-296-5166
Provider Business Mailing Address Details
- Address
- 56 Cottage Grove Ave
Brockton, MA 02301-6347 - City
- Brockton
- State
- MA
- Zip
- 02301-6347
- Phone Number
- 617-296-0720
- Fax Number
- 617-296-5166
License Information
- License Number
- 52194
- License State
- MA
- Taxonomy
- Internal Medicine, Adolescent Medicine · 207RA0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ambama Clinic PC?
The NPI number of Ambama Clinic PC is 1205992989. It was assigned on December 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Ambama Clinic PC?
Ambama Clinic PC is registered under the primary taxonomy Internal Medicine, Adolescent Medicine (code 207RA0000X), licensed in MA under license number 52194.
Where does Ambama Clinic PC practice?
The practice location is 56 Cottage Grove Ave, Brockton, MA 02301-6347. The office can be reached at 617-296-0720 (phone) or 617-296-5166 (fax).
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 1205992989 directly on the NPPES registry website.