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Individual

MICHAEL ASANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5101 N PARK DR, PENNSAUKEN, NJ 08109-4643
(856) 665-8844
Mailing address
909 BRISTOL PIKE APT F8, CROYDON, PA 19021-6211
(267) 322-0513

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
SP030416
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP030416
PA

Other

Enumeration date
10/16/2024
Last updated
10/16/2024
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