Provider Demographics
NPI:1356547277
Name:ASHLEY-AXON, ADELE PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:ADELE
Middle Name:PATRICIA
Last Name:ASHLEY-AXON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 PENTLAND DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-1046
Mailing Address - Country:US
Mailing Address - Phone:302-984-0911
Mailing Address - Fax:302-984-0540
Practice Address - Street 1:309 PENTLAND DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807-1046
Practice Address - Country:US
Practice Address - Phone:302-984-0911
Practice Address - Fax:302-984-0540
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002544207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine