Most Relevant Information
Provider Data
| NPI Number: | 1003565490 |
| Provider Name: | ASHLEY ASENSIO DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2022 |
| Last Updated: | 03/22/2022 |
Provider Practice Location
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK
NJ
089011928
Practice Location Phone/Fax
| Phone: | 7328283000 |
| Fax: |
Provider Mailing Location
253 LUCAS LN APT 2
VOORHEES
NJ
080432528
Provider Mailing Phone/Fax
| Phone: | 6107904838 |
| Fax: |