Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00199900 | NJ |
NPI | 1376541896 |
---|---|
Provider Name | Dr. Dara Jeanne Sperber |
First Address | Martinsville, NJ 08836-2225 |
Second Address | Elizabeth, NJ 07202-1692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 15/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4625102 | (05) | NJ |
P00076398 | MEDICARE RAILROAD (01) | NJ |
U06286 | (02) | NJ |