Healthcare Provider Details

I. General information

NPI: 1417574419
Provider Name (Legal Business Name): ASHLEY HARVARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 K JOHNSON BLVD STE 102
BORDENTOWN NJ
08505-2275
US

IV. Provider business mailing address

100 K JOHNSON BLVD STE 102
BORDENTOWN NJ
08505-2275
US

V. Phone/Fax

Practice location:
  • Phone: 609-537-7200
  • Fax:
Mailing address:
  • Phone: 609-537-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD479644
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA12205400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: