Healthcare Provider Details
I. General information
NPI: 1023479821
Provider Name (Legal Business Name): EMILY CONNELL D'ESPOSITO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/08/2016
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 RETREAT AVE STE 400
HARTFORD CT
06106-2528
US
IV. Provider business mailing address
429 YORK ST APT 3D
NORFOLK VA
23510-1152
US
V. Phone/Fax
- Phone: 860-246-4029
- Fax:
- Phone: 518-522-0676
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 0102206305 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 1023479821 |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: