Micah Delbert Richard Ambrose, DO
Emergency Medicine in Stamford, CT. Individual provider (NPI-1).
NPI number1962999482
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1962999482
- Entity type
- Individual (NPI-1)
- Name
- Micah Delbert Richard Ambrose
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2018
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 70179 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1 Hospital PlzEmergency Department
Stamford, CT 06902-3602
Phone 203-276-7777
Mailing address
1 Hospital PlzStamford, CT 06902-3602
Phone 203-276-7777
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