Jodi Ambler
Physician Assistant in New Haven, CT. Individual provider (NPI-1).
NPI number1063945244
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1063945244
- Entity type
- Individual (NPI-1)
- Name
- Jodi Ambler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2017
- Certification date
- Feb 7, 2022
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3798 | CT | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
Mailing address
430 E 63rd St Apt 7dNew York, NY 10065-7925
Phone 989-751-0705
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