Provider Demographics
NPI:1821083064
Name:YOUSSEF, ASHRAF F (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:F
Last Name:YOUSSEF
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 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4093
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:880 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4375
Practice Address - Country:US
Practice Address - Phone:717-691-3235
Practice Address - Fax:717-691-3243
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066713L207RX0202X
NJ25MA073427002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000733102OtherAMERICHOICE-WOODBURY #
NJ2K7311OtherHEALTH NET PROVIDER #
NJ8524505Medicaid
NJ39876OtherUNIV. HLTH PL PROVIDER #
NJ01000733101OtherAMERICHOICE-WILLINGBORO #
NJ4099455OtherGHI PROVIDER NUMBER
NJ195074OtherAMERIGROUP PROVIDER #
NJP2826501OtherOXFORD HEALTH PROVIDER #
NJ01000733100OtherAMERICHOICE-VOORHEES #
NJ1922204OtherFIRST HEALTH/CCN PROV. #
NJ2153698000OtherAMERIHEALTH PROVIDER #
NJ3644936OtherAETNA PROVIDER NUMBER
NJ4731720OtherCIGNA PROVIDER NUMBER
NJ60017186OtherHORIZON NJ HEALTH PROV. #
NJP00179705OtherRAILROAD MCARE PROV. #
NJ60017186OtherHORIZON NJ HEALTH PROV. #
NJ39876OtherUNIV. HLTH PL PROVIDER #