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Contact Information

EZELL ASKEW JR, MD
801 S FAIRMONT AVE
SUITE 1
LODI, CA95240-5106
 Phone: 209-603-9217
 Fax: 209-594-1665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for EZELL ASKEW JR · (Male)

NPI Number 1699760769
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2005
Last updated 12/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A90462
  • NM License # 2000-07
Hospital affiliation(s)
  • LODI MEMORIAL HOSPITAL - (Acute Care)
    975 S FAIRMONT AVENUE
    LODI, CA 95240
  • ST JOSEPHS MED CENTER OF STOCKTON - (Acute Care)
    1800 N CALIFORNIA ST
    STOCKTON, CA 95204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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