Provider Demographics
NPI:1871933549
Name:IGNACIO, NARCISO ESPOSO (MD)
Entity type:Individual
Prefix:DR
First Name:NARCISO
Middle Name:ESPOSO
Last Name:IGNACIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 HEDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5533
Mailing Address - Country:US
Mailing Address - Phone:410-296-3532
Mailing Address - Fax:
Practice Address - Street 1:111 HEDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5533
Practice Address - Country:US
Practice Address - Phone:410-296-3532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine