Healthcare Provider Details

I. General information

NPI: 1154683407
Provider Name (Legal Business Name): CLAUDIA ESPINO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 12/01/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N GEORGE MASON DR SUITE 302
ARLINGTON VA
22205-3609
US

IV. Provider business mailing address

3100 S MANCHESTER ST APT 318
FALLS CHURCH VA
22044-2711
US

V. Phone/Fax

Practice location:
  • Phone: 703-816-4152
  • Fax: 703-527-1169
Mailing address:
  • Phone: 301-340-8339
  • Fax: 240-485-5407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101260543
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: