THEODORE J. AMBROSE

DANVILLE, PA
NPI1558709253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN546233)
Enumeration Date2013-06-05
Last Update Date2013-06-05
Business Address
Mr. THEODORE J. AMBROSE CRNA
100 N ACADEMY AVE
DANVILLE, PA 17822-2025
Phone number: 570-271-6621
Mailing Address
Mr. THEODORE J. AMBROSE CRNA
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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