Healthcare Provider Details

I. General information

NPI: 1245259712
Provider Name (Legal Business Name): GUY M ESPOSITO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 ROUTE 108
SOMERSWORTH NH
03878-1517
US

IV. Provider business mailing address

237 ROUTE 108
SOMERSWORTH NH
03878-1517
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-2007
  • Fax: 603-749-4605
Mailing address:
  • Phone: 603-742-2007
  • Fax: 603-749-4605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5305
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: