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Individual

MR. EDWARD M ESPOSITO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
17 BRANT AVE, SUITE 3, CLARK, NJ 07066
(732) 239-4420
(732) 680-0513
Mailing address
17 BRANT AVE, SUITE 3, CLARK, NJ 07066
(732) 239-4420
(732) 680-0513

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04878200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099872
COMPSYCH PROVIDER NO.
NJ
01
223217692
TAX IDENTIFICATION
NJ
01
272423
MHN PROVIDER NO.
NH
01
354590000
MAGELLAN PROVIDER NO.
NH
01
P2544801
OXFORD PROVIDER NO.
NJ
Enumeration date
10/02/2006
Last updated
12/31/2024
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