James Burns Amberson, M.D.
Individual provider Active NPI Anatomic Pathology Physician · Stratford, CT
NPI 1689797151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689797151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology Physician 207ZP0101X
- License
- 030028 (CT)
- Practice address
- 200 Watson Blvd
Stratford, CT 06615-7127 - Phone
- (203) 381-4058
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030028 | CT | MD | Anatomic Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 030028 | CT | Yes |
Addresses
Primary practice location
200 Watson Blvd
Stratford, CT 06615-7127
Mailing address
18 Tubbs Spring CT
Weston, CT 06883-1412
Phone (203) 454-0510
Other providers in Stratford, CT
- Maribel Agosto
- Idaira Aguilar Tejedor
- Maria Aguirre
- Daune Alexis-Bailey
- Nada Y Alsaigh
- Helen Ambizas
- American Current Care PA
- American Current Care PA PC
- Melissa Sage Amory
- Jennifer Dolores Anderson
All providers in Stratford, CT · Anatomic Pathology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.