Provider Demographics
NPI:1801072053
Name:ASUNCION, EMERITO L (SA)
Entity type:Individual
Prefix:
First Name:EMERITO
Middle Name:L
Last Name:ASUNCION
Suffix:
Gender:M
Credentials:SA
Other - Prefix:DR
Other - First Name:EMERITO
Other - Middle Name:L
Other - Last Name:ASUNCION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5836 BRANDONS WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7300
Mailing Address - Country:US
Mailing Address - Phone:410-799-4198
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC0008246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant