Provider Demographics
NPI:1891132502
Name:TIEGS, ASHLEY WOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:WOOD
Last Name:TIEGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:525 W 28TH ST
Mailing Address - Street 2:APARTMENT 744
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6611
Mailing Address - Country:US
Mailing Address - Phone:404-849-8325
Mailing Address - Fax:
Practice Address - Street 1:140 ALLEN RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2976
Practice Address - Country:US
Practice Address - Phone:738-712-2389
Practice Address - Fax:973-290-8370
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA84981207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology