Provider Demographics
NPI:1023375649
Name:RASLAN, ASHRAF (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:RASLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 VAN REYPEN ST
Mailing Address - Street 2:APARTMENT 305
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4427
Mailing Address - Country:US
Mailing Address - Phone:347-944-3960
Mailing Address - Fax:
Practice Address - Street 1:68 VAN REYPEN ST
Practice Address - Street 2:APARTMENT 305
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4427
Practice Address - Country:US
Practice Address - Phone:347-944-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program