Healthcare Provider Details

I. General information

NPI: 1205801677
Provider Name (Legal Business Name): ROSEMARY I ASHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 07/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 LOUISA AVE STE 118
VIRGINIA BEACH VA
23454-4669
US

IV. Provider business mailing address

324 LOUISA AVE STE 118
VIRGINIA BEACH VA
23454-4669
US

V. Phone/Fax

Practice location:
  • Phone: 757-333-7797
  • Fax: 757-333-7760
Mailing address:
  • Phone: 757-333-7797
  • Fax: 757-333-7760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101057614
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: