MEDICARE: AMBLER PEDIATRICS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174579114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBLER PEDIATRICS, PC

Provider Business Mailing Address
First Line	:	602 S BETHLEHEM PIKE
Second Line	:	SUITE D
City	:	AMBLER
State	:	PA
Zip	:	19002-5800
Country	:	US
Telephone Number	:	215-643-7771
Fax Number	:	215-643-9463

Provider Business Practice Location Address
First Line	:	602 S BETHLEHEM PIKE
Second Line	:	SUITE D
City	:	AMBLER
State	:	PA
Zip	:	19002-5800
Country	:	US
Telephone Number	:	215-643-7771
Fax Number	:	215-643-9463

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FREDRIC T SEROTA
Credential	:	M.D., J.D.
Telephone Number	:	215-643-7771

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1588668131 — DR. FREDRIC TOBIN SEROTA M.D., J.D.
Practice Location Address:

602 S BETHLEHEM PIKE , STE D
AMBLER, PA
19002-5800

Practice Phone: 215-643-7771
Practice Fax: 215-643-9460

1194724526 — MS. JO ANN ELIZABETH SEROTA R.N., C.R.N.P.
Practice Location Address:

602 S BETHLEHEM PIKE , SUITE D
AMBLER, PA
19002-5800

Practice Phone: 215-643-7771
Practice Fax: 215-643-9463

1306833579 — DR. DENISE A KOHLER DPM
Practice Location Address:

602 S BETHLEHEM PIKE , SUITE C-1
AMBLER, PA
19002-5800

Practice Phone: 215-646-5990
Practice Fax: 215-646-2901

1669541249 — PREVENTADENT ASSOCIATES
Practice Location Address:

602 S BETHLEHEM PIKE , BUILDING A-1
AMBLER, PA
19002-5800

Practice Phone: 215-646-1665
Practice Fax: 215-646-2991

1982775201 — ELLEN ELIZABETH VENART M.ED., LPC, NCC
Practice Location Address:

602 S BETHLEHEM PIKE , BUILDING B
AMBLER, PA
19002-5800

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Practice Fax:

1114061306 — MS. MAUREEN KELLY LEFEVRE CRNP
Practice Location Address:

602 S BETHLEHEM PIKE
AMBLER, PA
19002-5800

Practice Phone: 215-643-7771
Practice Fax: 215-643-9463

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