Dr JAROSLAW MARK AMBROZIAK is a male medical professional, specializing in Family Medicine. He graduated in 1997 from University Of Minnesota Medical School.
PROVIDENCE FAMILY PRACTICE LLC
115 BLARNEY DR
SUITE 212
COLUMBIA
SC
292236291
Tel: 8032545171
| Npi | 1477506459 |
| Pac Id | 6406971985 |
| Professional Enrollment Id | I20101012000331 |
| Last Name | AMBROZIAK |
| First Name | JAROSLAW |
| Middle Name | MARK |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE FAMILY PRACTICE LLC |
| Group Practice Pac Id | 4284658865 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 115 BLARNEY DR |
| Line 2 Street Address | SUITE 212 |
| Marker Of Address Line 2 Suppression | |
| City | COLUMBIA |
| State | SC |
| Zip Code | 292236291 |
| Phone Number | 8032545171 |
| Hospital Affiliation Ccn 1 | 420018 |
| Hospital Affiliation Lbn 1 | PALMETTO HEALTH RICHLAND |
| Hospital Affiliation Ccn 2 | 420026 |
| Hospital Affiliation Lbn 2 | PROVIDENCE HEALTH |
| Hospital Affiliation Ccn 3 | 420086 |
| Hospital Affiliation Lbn 3 | PALMETTO HEALTH BAPTIST |
| Hospital Affiliation Ccn 4 | 420106 |
| Hospital Affiliation Lbn 4 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| Hospital Affiliation Ccn 5 | 420073 |
| Hospital Affiliation Lbn 5 | LEXINGTON MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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