Individual ProviderDavid Noble AmbroseFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978(570) 320-7800PECOS EnrollmentBased on the most recent information from CMS, provider David Noble Ambrose does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1497723936Provider TypeIndividualFull NameAmbrose, David NobleTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/10/2006Last Updated2/3/2020Contact InformationPractice LocationPractice Address1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978Phone(570) 320-7800Fax(570) 320-7801Mailing LocationMailing Address1201 Grampian Blvd, Williamsport, PA 17701-1900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD021011EPennsylvaniaCode207VX0000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseMD021011EPennsylvania