Provider Demographics
NPI:1083625396
Name:ASCIONE, MARLENE E (DO)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:E
Last Name:ASCIONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17241-1499
Mailing Address - Country:US
Mailing Address - Phone:717-776-3114
Mailing Address - Fax:717-766-5020
Practice Address - Street 1:100 S HIGH ST
Practice Address - Street 2:
Practice Address - City:NEWVILLE
Practice Address - State:PA
Practice Address - Zip Code:17241
Practice Address - Country:US
Practice Address - Phone:717-776-3114
Practice Address - Fax:717-766-5020
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS013195OtherLICENSE NUMBER