Organization · Type 2 NPI
Ambama Clinic PC
Adolescent Medicine (Internal Medicine) Physician · Brockton, MA
NPI number
1205992989
Active
Practice location
56 Cottage Grove Ave
Brockton, MA 02301-6347
Fax (617) 296-5166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician Primary | 207RA0000X | 52194 (MA) |
Adolescent Medicine (Internal Medicine) Physician: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
About NPI 1205992989
Ambama Clinic PC's National Provider Identifier is 1205992989, issued on Dec 28, 2006. The primary taxonomy on file is Adolescent Medicine (Internal Medicine) Physician (207RA0000X), and the practice location is in Brockton, MA. The record was last updated on Jan 18, 2008.