Ambush Pediatrics and Family Medical Clinic
NPI #1457956948 in Halethorpe, Maryland
Provider Information
- NPI Number
- 1457956948
- Entity Type
- Organization
- Organization Name
- Ambush Pediatrics and Family Medical Clinic
- Primary Specialty
- Family Medicine - Adolescent Medicine
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 4367 HOLLINS FERRY RD STE 1C
- City
- Halethorpe
- State
- Maryland
- ZIP Code
- 21227-3400
- Phone
- (410) 609-6677
Authorized Official
- Name
- DR. JACQUELINE EBONY AMBUSH, DNP
- Title
- OWNER/OPERATOR
- Phone
- (410) 707-5947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
| Family Medicine - Adolescent Medicine — Adolescent Medicine |
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