Provider Demographics
NPI:1275922015
Name:WRIGHT, ASHLEY D (BOCO)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:BOCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 COLLINGS AVE APT B324
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1671
Mailing Address - Country:US
Mailing Address - Phone:856-500-0797
Mailing Address - Fax:
Practice Address - Street 1:520 COLLINGS AVE APT B324
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08107-1671
Practice Address - Country:US
Practice Address - Phone:856-457-6309
Practice Address - Fax:800-518-2844
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJC50954174400000X
347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174400000XOther Service ProvidersSpecialist
No347C00000XTransportation ServicesPrivate Vehicle