Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 209789 | MA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 209789 | MA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD13165 | RI |
N | 207VX0000X | Obstetrician | MD13165 | RI |
NPI | 1215918396 |
---|---|
Provider Name | Matthew A. Esposito |
First Address | Providence, RI 02905-2401 |
Second Address | Providence, RI 02903-4829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 09/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0130907 | (05) | MA |
H36337 | (02) | MA |