Individual
RENATO R ESPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 SETON DR, SUITE 301, CUMBERLAND, MD 21502-1873
(301) 723-5863
(301) 723-5654
Mailing address
902 SETON DR, SUITE 301, CUMBERLAND, MD 21502-1873
(301) 723-5863
(301) 723-5654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0003459
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001678530002
—
PA
01
—
001716849
MT. STATE BC BS
WV
05
—
0077675000
—
WV
05
—
192021900
—
MD
01
—
40290002
CAREFIRST BC BS
MD
01
—
408113085
TRAVELERS MEDICARE
MD
01
—
G362 0001
BLUE CHOICE
DC
Enumeration date
08/09/2005
Last updated
09/11/2007
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