Provider Demographics
NPI:1225060759
Name:ESPINOSA-LOUISSAINT, ANGELICA R (MD)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:R
Last Name:ESPINOSA-LOUISSAINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 MONTVALE AVE
Mailing Address - Street 2:SUITE 4200
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3647
Mailing Address - Country:US
Mailing Address - Phone:781-451-0072
Mailing Address - Fax:781-451-0073
Practice Address - Street 1:92 MONTVALE AVE
Practice Address - Street 2:SUITE 4200
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3647
Practice Address - Country:US
Practice Address - Phone:781-451-0072
Practice Address - Fax:781-451-0073
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA225352208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics