SearchMassachusetts253Z00000X

Widmayer Ambroise, MD

NPI 1467114413 · on the registry since 2021 · sole proprietor

Practice

Address
55 Park St Apt 2
Attleboro, MA 02703
Phone
(774) 719-3922
Organisation at this address
Evolve Community Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
225C00000X
171R00000X
101YM0800X
172A00000X
225800000X
251K00000X
251S00000X
372500000X
372600000X
376J00000X
385HR2055X
385HR2060X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts