Doctor Name: | MR. RAYMOND ASEH OFE |
NPI Number: | 1003168964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | R199931 |
Business Practice Address: | 6192 Oxon Hill Rd Oxon Hill, MD - 207453114 |
Business Phone Number: | 3018390800 |
Business Fax Number: | |
Mailing Address: | 6114 Breezewood Dr Apt 202, GREENBELT |
State: | MD |
Postal Code: | 207704143 |
Phone Number: | 2403508841 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R199931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |