Provider Demographics
NPI:1205964848
Name:ESPOSITO, DEBORAH JOY (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JOY
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 WINTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1451
Mailing Address - Country:US
Mailing Address - Phone:508-334-8438
Mailing Address - Fax:508-334-8034
Practice Address - Street 1:147 WINTER HILL RD
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1451
Practice Address - Country:US
Practice Address - Phone:508-334-8438
Practice Address - Fax:508-334-8034
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA144133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered