Ambama Clinic PC

Organization Adolescent Medicine (Internal Medicine) Physician · NPI 1205992989

Ambama Clinic PC is an Adolescent Medicine (Internal Medicine) Physician in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in: MA
In the registry since: 2006

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 Cottage Grove Ave
Brockton, MA 02301-6347
Phone: (617) 296-0720
Fax: (617) 296-5166

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Specialties & licences

Adolescent Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RA0000X · Licence 52194 (MA)

Record details

NPI number	1205992989
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Ashok Patel — Manager · (617) 296-0720
NPI enumerated	December 28, 2006
Last updated in NPPES	January 18, 2008
Mailing address	56 Cottage Grove Ave, Brockton, MA 02301-6347