Healthcare Provider Details

I. General information

NPI: 1275520355
Provider Name (Legal Business Name): FRANCES ESPOSITO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 SAVANNAH RD
LEWES DE
19958-1462
US

IV. Provider business mailing address

PO BOX 263
LEWES DE
19958-0263
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3636
  • Fax:
Mailing address:
  • Phone: 302-645-7919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC10003805
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: