Basic Information
Provider Information
NPI: 1588626139
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHER
FirstName: JEANNE
MiddleName: POMAR
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3720 FARRAGUT AVE
Address2:  
City: KENSINGTON
State: MD
PostalCode: 208952110
CountryCode: US
TelephoneNumber: 3019494242
FaxNumber: 3019498041
Practice Location
Address1: 3720 FARRAGUT AVE
Address2:  
City: KENSINGTON
State: MD
PostalCode: 208952110
CountryCode: US
TelephoneNumber: 3019494242
FaxNumber: 3019498041
Other Information
ProviderEnumerationDate: 04/06/2006
LastUpdateDate: 12/18/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300XD34032MDY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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