Healthcare Provider Details

I. General information

NPI: 1982646550
Provider Name (Legal Business Name): DRS.ESPOSITO,MAYER, HOGAN & ASSIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11085 LITTLE PATUXENT PKWY STE 103
COLUMBIA MD
21044-2983
US

IV. Provider business mailing address

11085 LITTLE PATUXENT PKWY STE 103
COLUMBIA MD
21044-2983
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-0580
  • Fax: 410-740-8587
Mailing address:
  • Phone: 410-997-0580
  • Fax: 410-740-8587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER J ELLIOTT
Title or Position: CONTROLLER
Credential:
Phone: 410-964-5929