Healthcare Provider Details

I. General information

NPI: 1386168680
Provider Name (Legal Business Name): ESPOSITO MEDICAL ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 08/06/2022
Certification Date: 08/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 N CHURCH ST STE 200
MOUNT PLEASANT PA
15666-1004
US

IV. Provider business mailing address

599 N CHURCH ST STE 200
MOUNT PLEASANT PA
15666-1004
US

V. Phone/Fax

Practice location:
  • Phone: 724-542-5349
  • Fax:
Mailing address:
  • Phone: 724-542-5349
  • Fax: 724-542-4658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: BOBBI JO DARNELL
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 724-603-6200