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Ambama Clinic Pc
Adolescent Medicine (Internal Medicine) Physician in Brockton, Massachusetts
NPI 1205992989

Ambama Clinic Pc is an Adolescent Medicine (Internal Medicine) Physician based in Brockton, MA and is specialized in Adolescent Medicine. Ambama Clinic Pc practices in Brockton, MA. The NPI Number for Ambama Clinic Pc is 1205992989 and holds a License No. 52194 (Massachusetts).

The current practice location address for Ambama Clinic Pc is 56 Cottage Grove Ave, Brockton, MA and can be reached out via phone at 617-296-0720 and via fax at 617-296-5166.

Location: 56 Cottage Grove Ave, Brockton, MA, 02301-6347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205992989
Provider Name
Ambama Clinic Pc
Credential
Provider Entity Type
Organization
Address
56 Cottage Grove Ave, Brockton, MA, 02301-6347
Phone Number
617-296-0720
Fax Number
617-296-5166
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9728350 05 MA
0030542 01 MA NEIGHBORHOOD HEALTH PLAN
M18330 01 MA BLUE CROSS BLUE SHIELD MA
DA4008 01 MA RAILROAD MEDICARE GROUP
697380 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
56 Cottage Grove Ave
City
Brockton
State
Massachusetts
Zip
02301-6347
Phone Number
617-296-0720
Fax Number
617-296-5166
person
Provider Business Mailing Address Details
Address
56 Cottage Grove Ave
City
Brockton
State
Massachusetts
Zip
02301-6347
Phone Number
617-296-0720
Fax Number
617-296-5166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Adolescent Medicine
Taxonomy
207RA0000X
License No.
52194 (Massachusetts)
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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