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Contact Information

JAMIEL J AMBRAD, MD
730 KINGSTOWN RD
UNIT B5
WAKEFIELD, RI02879-3011
 Phone: 401-783-1022
 Fax: 401-783-4004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAMIEL J AMBRAD · (Male)

NPI Number 1720076011
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2005
Last updated 01/13/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 214029
  • RI License # MD10880
  • RI Medicaid JA84304
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • SOUTH COUNTY HOSPITAL INC - (Acute Care)
    100 KENYON AVE
    WAKEFIELD, RI 02879
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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