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NPI Code Detail

MEDICARE: ABDUL M ASQUITH

MEDICARE: ABDUL M ASQUITH
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
1253Z00000XIn Home Supportive Care Agency
2251T00000XPACE Provider OrganizationPA

General Provider Information

NPI Number : 1619597747
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDUL M ASQUITH
Provider Business Mailing Address
First Line : 2 LOGAN SQ STE 300
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-2733
Country : US
Telephone Number : 267-897-5317
Fax Number : 267-363-1908
Provider Business Practice Location Address
First Line : 2 LOGAN SQ STE 300
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-2733
Country : US
Telephone Number : 267-897-5317
Fax Number : 267-363-1908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2020
Last Update Date : 01/30/2024

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Directions to “ ABDUL M ASQUITH ” Practice Location

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