1316069628 NPI number — DONNA ESPOSITO APN-C

Table of content: DONNA ESPOSITO APN-C (NPI 1316069628)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316069628 NPI number — DONNA ESPOSITO APN-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESPOSITO
Provider First Name:
DONNA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APN-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316069628
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 HARRIET WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANDING
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07850-1818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-601-0872
Provider Business Mailing Address Fax Number:
973-601-1103

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 MERCK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITEHOUSE STATION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08889-3400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-423-3752
Provider Business Practice Location Address Fax Number:
908-735-1444
Provider Enumeration Date:
04/06/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  26NN10502700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)