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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMBROSE MGBAKO, MD

Active Sole Proprietor

AMBROSE MGBAKO, MD is a Psychiatry healthcare provider located in MONTCLAIR, New Jersey. NPI 1629045323 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · MONTCLAIR, NJ

Registration Details

NPI Number
1629045323
Provider Type
Individual
Gender
Male
NPI Issued
Mar 2, 2006 (20.409664763711 yrs)
Last Updated
Aug 3, 2010
License
25MA06256300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1 BAY AVE
MONTCLAIR, NJ, 070424837
Browse NJ providers · Browse ZIP 07042
Phone
9739715595
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in MONTCLAIR, NJ

Name Credential NPI
DANILO CAMPOS MD 1326014903
ROBERT ALAN REFF M.D. 1952357766
DR. PAUL VINCENT KENNEDY MD 1194763904
DR. CATHERINE A LIEBHAUSER M.D. 1497782775
DR. CHRISTINE STEPHANIE NAUNGAYAN MD 1659481216
DR. LAURENCE MICHAEL WESTREICH M.D. 1164523056
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.