Healthcare Provider Details

I. General information

NPI: 1629127634
Provider Name (Legal Business Name): ROBERT ESPOSITO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 SIX FORKS RD STE 104
RALEIGH NC
27609-8619
US

IV. Provider business mailing address

5620 SIX FORKS RD STE 104 CAROLINA ORTHOPAEDICS
RALEIGH NC
27609-8619
US

V. Phone/Fax

Practice location:
  • Phone: 919-620-4467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number95-00069
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: