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NPI Code Detail

MEDICARE: DR. ELENITA ESPINA M.D.

MEDICARE:  DR. ELENITA  ESPINA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician024016CT

General Provider Information

NPI Number : 1255333217
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELENITA ESPINA M.D.
Provider Business Mailing Address
First Line : 309 STILLSON RD
Second Line :
City : FAIRFIELD
State : CT
Zip : 06825-3213
Country : US
Telephone Number : 203-366-8700
Fax Number : 203-367-8080
Provider Business Practice Location Address
First Line : 309 STILLSON RD
Second Line :
City : FAIRFIELD
State : CT
Zip : 06825-3213
Country : US
Telephone Number : 203-366-8700
Fax Number : 203-367-8080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 09/14/2007

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Directions to “ DR. ELENITA ESPINA M.D.” Practice Location

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