Provider Demographics
NPI:1679040380
Name:ESPOSITO, ANGELA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:GIBBONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 NEWBURY ST APT 3203
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-4117
Mailing Address - Country:US
Mailing Address - Phone:914-623-3051
Mailing Address - Fax:
Practice Address - Street 1:176 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-3230
Practice Address - Country:US
Practice Address - Phone:781-593-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist