AMBROSE MGBAKO

MONTCLAIR, NJ
NPI1629045323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ  25MA06256300)
Enumeration Date2006-03-02
Last Update Date2010-08-03
Business Address
-- AMBROSE MGBAKO MD
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-971-5595
Mailing Address
-- AMBROSE MGBAKO MD
PO BOX 23831
NEWARK, NJ 07189-0001
Phone number: 973-971-5595
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