Healthcare Provider Details

I. General information

NPI: 1558502187
Provider Name (Legal Business Name): DAVID A. ESPOSITO MASSAGE THERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ELM ST
MORRISTOWN NJ
07960-8804
US

IV. Provider business mailing address

PO BOX 176
WHIPPANY NJ
07981-0176
US

V. Phone/Fax

Practice location:
  • Phone: 973-537-8872
  • Fax:
Mailing address:
  • Phone: 973-537-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: