Provider Demographics
NPI:1740229046
Name:ASHBY, JOHN W (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:ASHBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4047
Mailing Address - Country:US
Mailing Address - Phone:302-439-3063
Mailing Address - Fax:302-439-3372
Practice Address - Street 1:1600 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE D
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4047
Practice Address - Country:US
Practice Address - Phone:302-439-3063
Practice Address - Fax:302-439-3372
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA553322081P0004X
DEC1-00092372081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE36811Medicare UPIN
NJ616978Medicare ID - Type Unspecified