Provider Demographics
NPI:1700141561
Name:ASOH, SIMON (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MR
First Name:SIMON
Middle Name:
Last Name:ASOH
Suffix:
Gender:M
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7402 PERRYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6337
Mailing Address - Country:US
Mailing Address - Phone:301-377-3876
Mailing Address - Fax:
Practice Address - Street 1:7402 PERRYWOOD RD
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-6337
Practice Address - Country:US
Practice Address - Phone:301-377-3876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide