OrganizationActive
Ambush Pediatrics and Family Medical Clinic
NPI 1457956948 · Adolescent Medicine (Family Medicine) Physician · Halethorpe, MD
Provider details
- NPI number
- 1457956948
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jacqueline Ambush, Owner/Operator
Practice location
4367 Hollins Ferry Rd Ste 1c
Halethorpe, MD 21227-3400
Phone: (410) 609-6677
Fax: (410) 609-6672
Mailing address
4367 Hollins Ferry Rd Ste 1c
Halethorpe, MD 21227-3400
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.