Individual
THERESA C ESPOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 N WASHINGTON AVE STE 203, BERGENFIELD, NJ 07621-1776
(201) 374-1718
Mailing address
56 WALNUT AVE, BELLMAWR, NJ 08031-2222
(201) 290-1954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00589300
NJ
Other
Enumeration date
12/02/2020
Last updated
05/25/2021
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