Provider Demographics
NPI:1407895410
Name:ESPOSITO, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1717 SHIPYARD BLVD
Mailing Address - Street 2:#350
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-8019
Mailing Address - Country:US
Mailing Address - Phone:910-799-0110
Mailing Address - Fax:910-799-1958
Practice Address - Street 1:1717 SHIPYARD BLVD
Practice Address - Street 2:#350
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8019
Practice Address - Country:US
Practice Address - Phone:910-799-0110
Practice Address - Fax:910-799-1958
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA54741207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0197953OtherCIGNA
NC8930772Medicaid
NC0928879OtherUNITED HEALTHCARE
NC30772OtherBCBS OF NC
NC200035591OtherRAILROAD MEDICARE
NC200035591OtherRAILROAD MEDICARE
NC8930772Medicaid