Provider Demographics
NPI:1508991803
Name:AMBLER MEDICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:AMBLER MEDICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BEALE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-646-9220
Mailing Address - Street 1:500 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-6017
Mailing Address - Country:US
Mailing Address - Phone:215-646-9220
Mailing Address - Fax:215-646-0715
Practice Address - Street 1:500 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-6017
Practice Address - Country:US
Practice Address - Phone:215-646-9220
Practice Address - Fax:215-646-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty