Healthcare Provider Details

I. General information

NPI: 1740215979
Provider Name (Legal Business Name): BELEN ESPARIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 12/23/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 MARKET ST STE 201
PHILADELPHIA PA
19104-2640
US

IV. Provider business mailing address

362 MARKET ST STE 201
PHILADELPHIA PA
19104-2640
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-7772
  • Fax: 215-615-3671
Mailing address:
  • Phone: 215-662-7772
  • Fax: 215-615-3671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME81935
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD069385L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: