MEDICARE: SILVIA DANIELA DEGLI ESPOSTI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101261127	VA
2	207RG0100X	Gastroenterology Physician	0101261127	VA

General Provider Information

NPI Number	:	1720017924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA DANIELA DEGLI ESPOSTI MD

Provider Business Mailing Address
First Line	:	1031 LOFTIS BLVD STE 201
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-2981
Country	:	US
Telephone Number	:	757-736-9850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 LOFTIS BLVD STE 201
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-2981
Country	:	US
Telephone Number	:	757-736-9850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	07/09/2024

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