Ambama Clinic Pc

LBN: Ambama Clinic Pc
Ambama Clinic Pc is an health care organization with primary practice located at 56 Cottage Grove Ave , Brockton MA 02301-6347. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Ambama Clinic Pc can be contacted via phone (617) 296-0720, or through Patel, Ashok J via phone (617) 296-0720.

Contact Information

Primary practice address
56 Cottage Grove Ave Brockton MA 02301-6347
Phone: (617) 296-0720
Fax: (617) 296-5166
Website:
Map and Directions
Authorized official contact:
Name: Patel, Ashok J Doctor of Medicine (MD)
Phone: (617) 296-0720

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 52194 Massachusetts

Profile Details

NPI number 1205992989
LBN Legal business name Ambama Clinic Pc
DBA Doing business as
Authorized official Patel, Ashok J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Jan 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205992989 NPPES
Massachusetts MEDICAID 9728350
Massachusetts Other 0030542
Massachusetts Other M18330
Massachusetts Other DA4008
Massachusetts Other 697380

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