Provider Demographics
NPI:1083771513
Name:RONALD F ASPER
Entity Type:Organization
Organization Name:RONALD F ASPER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:ASPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:609-267-5448
Mailing Address - Street 1:24 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-4873
Mailing Address - Country:US
Mailing Address - Phone:609-267-5448
Mailing Address - Fax:
Practice Address - Street 1:1304 W RITNER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3525
Practice Address - Country:US
Practice Address - Phone:215-465-4675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014431E207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA608801Medicaid
PAC31486Medicare UPIN
PA608801Medicaid