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MARY ANTONIETTE AMBACH M.D.

Pain Medicine >> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083769566

Individual Registrant:
 MARY ANTONIETTE AMBACH M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6125 PASEO DEL NORTE STE 100  CARLSBAD, CA 92011 US
Tel: 760-909-2355  Fax: 760-448-5363

Contact information for business:
6125 PASEO DEL NORTE STE 100  CARLSBAD, CA 92011-1113 US
Tel: 760-909-2355  Fax: 760-448-5363

Registration Information:
NPI: 1083769566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2081P2900XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
Pain Medicine
CAA108622

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS00231FL01
CIGNA1083769566FL01




HEALTH CARE JOBS CA - Page 1



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