Healthcare Provider Details

I. General information

NPI: 1750535878
Provider Name (Legal Business Name): DR. MARIA ELIZABETH ESPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 11/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13614 CREEKSIDE DR
SILVER SPRING MD
20904-5417
US

IV. Provider business mailing address

13614 CREEKSIDE DR
SILVER SPRING MD
20904-5417
US

V. Phone/Fax

Practice location:
  • Phone: 301-384-0350
  • Fax: 301-384-7057
Mailing address:
  • Phone: 301-384-0350
  • Fax: 301-384-7057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberD0021234
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: