Ambrosio, Maria G

Ambrosio, Maria G is an individual health care provider with primary practice located at 911 Valley Rd , Wayne NJ 07470-2973. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ambrosio, Maria G can be contacted via phone (973) 694-9080.

Contact Information

Primary practice address
911 Valley Rd Wayne NJ 07470-2973
Phone: (973) 694-9080
Fax: (973) 694-9084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15610 New Jersey

Profile Details

NPI number 1023406097
LBN Legal business name Ambrosio, Maria G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2014
Last updated Dec 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023406097 NPPES
New Jersey Other 1639398316 NATIONAL PROVIDER IDENTIFIER

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