MS. Rita Lee Ambrose, SPECIALIST

NPI #1144462664 in 688, Massachusetts

Provider Information

NPI Number: 1144462664
Entity Type: Individual
Name: MS. Rita Lee Ambrose, SPECIALIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: SPECIALIST
Enumeration Date: Mar 30, 2009
Last Updated: Dec 31, 2019

Practice Location

Address: 21 WALDEN SQUARE ROAD
Address 2: UNIT
City: 688
State: Massachusetts
ZIP Code: 02140-3434
Phone: (617) 955-2335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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