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1265060164
MAXWELL AMBROSINO
PHILADELPHIA, PA
NPI
1265060164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OS022918)
Enumeration Date
2020-03-28
Last Update Date
2024-03-01
Business Address
MAXWELL AMBROSINO DO
800 SPRUCE ST
PHILADELPHIA, PA 19107-6192
Phone number: 215-829-5410
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Mailing Address
MAXWELL AMBROSINO DO
800 SPRUCE ST 1 PINE WEST
PHILADELPHIA, PA 19107-6130
Phone number: 215-829-5410
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