Healthcare Provider Details

I. General information

NPI: 1679762488
Provider Name (Legal Business Name): HECTOR ASUNCION MD., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18730 LIBERTY MILL ROAD
GERMANTOWN MD
20874
US

IV. Provider business mailing address

18730 LIBERTY MILL ROAD
GERMANTOWN MD
20874
US

V. Phone/Fax

Practice location:
  • Phone: 301-972-6444
  • Fax: 301-972-0938
Mailing address:
  • Phone: 301-972-6444
  • Fax: 301-972-0938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0000995
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License NumberD0000995
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberD0000995
License Number StateMD

VIII. Authorized Official

Name: MR. HECTOR CASTRO ASUNCION
Title or Position: MD
Credential: M.D.
Phone: 301-972-6444