OrganizationActive
Ambama Clinic PC
NPI 1205992989 · Adolescent Medicine (Internal Medicine) Physician · Brockton, MA
Provider details
- NPI number
- 1205992989
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ashok Patel, Manager
- License
- 52194 (MA)
Practice location
56 Cottage Grove Ave
Brockton, MA 02301-6347
Phone: (617) 296-0720
Fax: (617) 296-5166
Mailing address
56 Cottage Grove Ave
Brockton, MA 02301-6347
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2008-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.