Provider Demographics
NPI:1447245410
Name:ASCH, JOSEPH A (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:ASCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 S HOPKINS AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-6679
Mailing Address - Country:US
Mailing Address - Phone:321-268-4767
Mailing Address - Fax:321-267-8765
Practice Address - Street 1:4401 S HOPKINS AVE
Practice Address - Street 2:STE 103
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-6679
Practice Address - Country:US
Practice Address - Phone:321-268-4767
Practice Address - Fax:321-267-8765
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49333207RC0000X
FLME0049333207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045628400Medicaid
03763VMedicare PIN
D50821Medicare UPIN
FL045628400Medicaid