Provider Demographics
NPI:1275817033
Name:YALE, ASHLEY (DPM)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:YALE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:HERCZEG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:47 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9126
Mailing Address - Country:US
Mailing Address - Phone:717-243-2236
Mailing Address - Fax:
Practice Address - Street 1:12 PENNS TRL STE 154
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3438
Practice Address - Country:US
Practice Address - Phone:888-964-6681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006289213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA351132XRBMedicare PIN