Provider Demographics
NPI:1710925573
Name:ESPOSITO, CLAIRE JACQUELINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:JACQUELINE
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 OLD 30 RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-9738
Mailing Address - Country:US
Mailing Address - Phone:203-530-8869
Mailing Address - Fax:
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2575
Practice Address - Country:US
Practice Address - Phone:203-450-4785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207009207L00000X
CT36609207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCHN707OtherCOMMUNITY HEALTH NETWORK
CT1366097Medicaid
CT001366097P2OtherBLUE CARE FAMILY PLAN
CT5889652OtherAETNA CT
CT500HBA011C1OtherBCBS CT
CT794124OtherCONNECTICARE
CT1366097Medicaid
CT5889652OtherAETNA CT