Jerome    Ambrosia    MD
Contract Details
OrthoSports Associates
Facility name
Provider ID
P000008913
NPI
1831419191
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
52 Medical Park Drive East Suite 220
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058384747 (Phone)
Billing Details
Address
52 Medical Park Drive East
Suite 220
Birmingham, AL 35235
Billing Phone
2055470220
Specialty Type
Surgery, Orthopedic
Map
Address