Provider Demographics
NPI:1346573490
Name:BADU-ASANTE, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BADU-ASANTE
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 1:1612 BIRCHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1934
Mailing Address - Country:US
Mailing Address - Phone:732-422-3120
Mailing Address - Fax:
Practice Address - Street 1:1612 BIRCHWOOD CT
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1934
Practice Address - Country:US
Practice Address - Phone:732-422-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ297880164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse