Provider Demographics
NPI:1194831925
Name:IJAZ, AMBREEN (MD)
Entity Type:Individual
Prefix:
First Name:AMBREEN
Middle Name:
Last Name:IJAZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:361 OLD BELGRADE RD
Mailing Address - Street 2:HAROLD ALFOND CENTER FOR CANCER CARE
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-8058
Mailing Address - Country:US
Mailing Address - Phone:207-621-6100
Mailing Address - Fax:207-621-6102
Practice Address - Street 1:361 OLD BELGRADE RD
Practice Address - Street 2:HAROLD ALFOND CENTER FOR CANCER CARE
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-8058
Practice Address - Country:US
Practice Address - Phone:207-621-6100
Practice Address - Fax:207-621-6102
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2011-06-16
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Provider Licenses
StateLicense IDTaxonomies
MA235693207RH0003X
ME018699207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology