Dr. David Noble Ambrose, MD
Family Medicine in Williamsport, PA. Individual provider (NPI-1).
NPI number1497723936
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1497723936
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Noble Ambrose
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2006
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD021011E | PA | Yes |
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | MD021011E | PA |
Practice location
1205 Grampian BlvdSuite 1a
Williamsport, PA 17701-1978
Phone 570-320-7800 · Fax 570-320-7801
Mailing address
1201 Grampian BlvdWilliamsport, PA 17701-1900
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