| NPI | 1457956948 |
|---|---|
| Doing Business As | AMBUSH PEDIATRICS AND FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE EBONY AMBUSH Owner/Operator 410-707-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |