Healthcare Provider Details

I. General information

NPI: 1447691373
Provider Name (Legal Business Name): RITA M. ESPOSITO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON ROAD SUITE 2670
NEWARK DE
19718-2200
US

IV. Provider business mailing address

915 OLD FERN HILL RD BLDG A SUITE 1
WEST CHESTER PA
19380-4269
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-2438
  • Fax: 302-733-4832
Mailing address:
  • Phone: 610-692-6280
  • Fax: 610-429-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA056191
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0012133
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: