Individual
EMIOLA ASEMOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6601 VENTNOR AVE, SUITE 14, VENTNOR, NJ 08406-2167
(609) 487-6507
(609) 487-6508
Mailing address
6601 VENTNOR AVE, SUITE 14, VENTNOR, NJ 08406-2167
(856) 755-1616
(856) 755-0098
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA06156800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0831582000
AMERIHEALTH HMO/PPO
NJ
01
—
1164968
HORIZON NJ HEALTH
NJ
01
—
23906
AMERIGROUP/AMERICAID
NJ
01
—
5768408
AETNA PPO
—
05
—
6482406
—
NJ
01
—
925976
AETNA HMO
—
01
—
P2922657
OXFORD
NJ
Enumeration date
05/08/2006
Last updated
07/08/2007
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