Basic Information
| Provider Information | |||||||||
| NPI: | 1366843138 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASHMAN-REID | ||||||||
| FirstName: | GILLIAN | ||||||||
| MiddleName: | SALANDA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5675 N FRONT ST STE 141 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191202719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2674286575 | ||||||||
| FaxNumber: | 2672626265 | ||||||||
| Practice Location | |||||||||
| Address1: | 5675 N FRONT ST STE 141 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191202719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2674286575 | ||||||||
| FaxNumber: | 2672626265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2014 | ||||||||
| LastUpdateDate: | 01/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25MA09987900 | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD458577 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.