Provider Demographics
NPI:1750484341
Name:ASH, CAROL E (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:E
Last Name:ASH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:157 BROAD ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2028
Mailing Address - Country:US
Mailing Address - Phone:732-530-2960
Mailing Address - Fax:732-530-7446
Practice Address - Street 1:157 BROAD ST
Practice Address - Street 2:SUITE 206
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2028
Practice Address - Country:US
Practice Address - Phone:732-530-2960
Practice Address - Fax:732-530-7446
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB56454207RS0012X
NJ25MB05645400207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5782607Medicare ID - Type Unspecified
G11696Medicare UPIN