Provider Demographics
NPI:1316155195
Name:ASUNTO, ALLAN TIMON (RPT)
Entity type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:TIMON
Last Name:ASUNTO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 WOOLLEY DR
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-3870
Mailing Address - Country:US
Mailing Address - Phone:848-333-5609
Mailing Address - Fax:
Practice Address - Street 1:516 WOOLLEY DR
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-3870
Practice Address - Country:US
Practice Address - Phone:848-333-5609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027970251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)