Provider Demographics
NPI:1912264177
Name:AMBE, OSCAR C (CSW)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:C
Last Name:AMBE
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:OSCAR
Other - Middle Name:
Other - Last Name:AMBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:9005 WILDBERRY CT
Mailing Address - Street 2:
Mailing Address - City:BOONSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21713-1861
Mailing Address - Country:US
Mailing Address - Phone:240-328-8624
Mailing Address - Fax:
Practice Address - Street 1:2526 PENNSYLVANIA AVE SE STE C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6729
Practice Address - Country:US
Practice Address - Phone:202-748-5641
Practice Address - Fax:202-748-5647
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide