Sperazza, Dal S

Sperazza, Dal S is an sole proprietor health care provider with primary practice located at 525 Rear Wyoming Ave , Kingston PA 18704-3602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Sperazza, Dal S can be contacted via phone (570) 714-2166.

Contact Information

Primary practice address
525 Rear Wyoming Ave Kingston PA 18704-3602
Phone: (570) 714-2166
Fax: (570) 714-2177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD036948L Pennsylvania

Profile Details

NPI number 1487685624
LBN Legal business name Sperazza, Dal S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Mar 31st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487685624 NPPES
Pennsylvania MEDICAID 0005540270007
Pennsylvania Other 075825
Pennsylvania Other 100651
Pennsylvania Other AA4036005
Pennsylvania Other 100651
Pennsylvania Other P024073
Pennsylvania Other 20013574

Popular Providers