MEDICARE: EDNA ASMAH

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
1	163WG0600X	Gerontology Registered Nurse	26NR21099300	NJ

General Provider Information

NPI Number	:	1366249799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDNA ASMAH

Provider Business Mailing Address
First Line	:	7 ALBERT DR
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-1801
Country	:	US
Telephone Number	:	732-937-3275
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 GROVE AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-3212
Country	:	US
Telephone Number	:	732-937-3275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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Directions to “ EDNA ASMAH ” Practice Location

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