Provider Demographics
NPI:1053743898
Name:ASUQUO, J FRANCIS (MD, DO, MPH)
Entity type:Individual
Prefix:DR
First Name:J
Middle Name:FRANCIS
Last Name:ASUQUO
Suffix:
Gender:M
Credentials:MD, DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 W GIRARD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1278
Mailing Address - Country:US
Mailing Address - Phone:304-290-7125
Mailing Address - Fax:
Practice Address - Street 1:2717 W GIRARD AVE STE A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-1278
Practice Address - Country:US
Practice Address - Phone:304-290-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000000207Q00000X
PA0SO21502207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine