Provider Demographics
NPI:1902169998
Name:PALMER, ASLENE ELAINE (MD)
Entity Type:Individual
Prefix:
First Name:ASLENE
Middle Name:ELAINE
Last Name:PALMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 OVERBROOK LN
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-2404
Mailing Address - Country:US
Mailing Address - Phone:215-901-7187
Mailing Address - Fax:866-781-3105
Practice Address - Street 1:602 OVERBROOK LN
Practice Address - Street 2:
Practice Address - City:ORELAND
Practice Address - State:PA
Practice Address - Zip Code:19075-2404
Practice Address - Country:US
Practice Address - Phone:215-901-7187
Practice Address - Fax:866-781-3105
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-046907-L207R00000X
NY165478-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine