NPI 1093416349
Ambroise Wonkam, MDPHD
Practice location
- Address
- 773 N. Broadway Mrb 439, Baltimore, MD 21205
- Phone
- (443) 287-0245
- Mailing address
- 10186 Maxine St, Ellicott City, MD 21042-6317
Registered specialties
Clinical Genetics (M.D.) Physician
Primary
Registry record
- NPI
- 1093416349
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Mar 2023
- Record last updated
- 14 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.