Provider Demographics
NPI:1982646550
Name:DRS.ESPOSITO,MAYER, HOGAN & ASSIC
Entity Type:Organization
Organization Name:DRS.ESPOSITO,MAYER, HOGAN & ASSIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-964-5929
Mailing Address - Street 1:11085 LITTLE PATUXENT PKWY
Mailing Address - Street 2:STE 103
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2983
Mailing Address - Country:US
Mailing Address - Phone:410-997-0580
Mailing Address - Fax:410-740-8587
Practice Address - Street 1:11085 LITTLE PATUXENT PKWY
Practice Address - Street 2:STE 103
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2983
Practice Address - Country:US
Practice Address - Phone:410-997-0580
Practice Address - Fax:410-740-8587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH910Medicare ID - Type Unspecified