Individual provider · Type 1 NPI
Rita Lee Ambrose, SPECIALIST
Specialist · 688, MA
NPI number
1144462664
Active
Practice location
21 Walden Square Road, Unit
688, MA 02140-3434
Mailing address
21 Waldensquare Road, Unit 688
North Cambridge, MA 02140-3434
Other practice locations
- 83 Martland Ave, Brockton, MA 02301-1425 · (337) 222-1444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | EIN 11.3677013 (FL) |
| Specialist | 174400000X | 113677013 (FL) |
| Specialist Primary | 174400000X | 11.3677013 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1144462664
Rita Lee Ambrose, SPECIALIST's National Provider Identifier is 1144462664, issued on Mar 30, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in 688, MA. The record was last updated on Dec 31, 2019.