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AMBAMA CLINIC PC
NPI 1205992989
Internal Medicine - Adolescent Medicine in Brockton, MA

Active since December 28, 2006
56 COTTAGE GROVE AVE, BROCKTON, MA 02301(617) 296-0720(617) 296-5166 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ambama Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBAMA CLINIC PC (NPI 1205992989) is a healthcare organization registered as an adolescent medicine in Brockton, Massachusetts and active in the NPI registry since December 2006. The organization lists Ashok J Patel, Manager, as its authorized official.

NPPES Registry Identity

NPI1205992989
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameAMBAMA CLINIC PC
Location Address56 COTTAGE GROVE AVEBrockton, MA 02301-6347
Mailing Address56 Cottage Grove AveBrockton, MA 02301-6347 · (617) 296-0720 · Fax (617) 296-5166
Phone(617) 296-0720
Fax(617) 296-5166
Organization SubpartNo
Authorized OfficialAshok J PatelManager · (617) 296-0720
Enumeration DateDecember 28, 2006
Last NPPES UpdateJanuary 18, 2008
✔ NPI 1205992989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in MA · 52194
Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

56 COTTAGE GROVE AVE, Brockton, MA 02301
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Other Identifiers 7

Other0030542MA · Neighborhood Health Plan
Medicaid9728350MA
OtherDA4008MA · Railroad Medicare Group
OtherM18330MA · Blue Cross Blue Shield Ma
Medicare UPINF80450MA
Other697380MA · Tufts Health Plan
Medicare ID-Type UnspecifiedM21353MA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ambama Clinic PC's NPI number?

The NPI number for Ambama Clinic PC is 1205992989. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Ambama Clinic PC located?

Ambama Clinic PC is located at 56 Cottage Grove Ave, Brockton, MA 02301. The listed phone number is (617) 296-0720.

What is Ambama Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Ambama Clinic PC was last updated on January 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.