Provider Demographics
NPI:1245586171
Name:ASONG, ALEXANDER ATABONG
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:ATABONG
Last Name:ASONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6544 PRINCESS GARDEN PKWY
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3533
Mailing Address - Country:US
Mailing Address - Phone:202-492-7787
Mailing Address - Fax:
Practice Address - Street 1:6544 PRINCESS GARDEN PKWY
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3533
Practice Address - Country:US
Practice Address - Phone:202-492-7787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-29
Last Update Date:2012-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide