Provider Demographics
NPI:1952974784
Name:ESPINOZA, ELOY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ELOY
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:E
Other - Middle Name:E
Other - Last Name:E
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1330 POWELL STREET
Mailing Address - Street 2:MONTGOMERY FAMILY PRACTICE, SUITE 409
Mailing Address - City:NORRIWSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1940
Mailing Address - Country:US
Mailing Address - Phone:484-622-7510
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK
Practice Address - Street 2:EINSTEIN MEDICAL CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:215-456-6013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT223162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine