Provider Demographics
NPI:1306253083
Name:ESPINAR HO, MARIA ELENA (MD)
Entity type:Individual
Prefix:
First Name:MARIA ELENA
Middle Name:
Last Name:ESPINAR HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA ELENA
Other - Middle Name:
Other - Last Name:ESPINAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:901 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2579
Mailing Address - Country:US
Mailing Address - Phone:732-294-4570
Mailing Address - Fax:732-431-8267
Practice Address - Street 1:1001 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2579
Practice Address - Country:US
Practice Address - Phone:732-294-4570
Practice Address - Fax:732-431-8267
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10177000207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0572489Medicaid