Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1158 | DE |
NPI | 1043204027 |
---|---|
Provider Name | Dr. Joseph F Spera |
First Address | Wilmington, DE 19810-4710 |
Second Address | Wilmington, DE 19810-4710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 28/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001189701 | (05) | DE |
0001189701 | DIAMOND STATE (01) | DE |
1000032546 | DELAWARE PHYS CARE INC (01) | DE |
177496 | COVENTRY (01) | DE |
2843429 | AETNA (01) | DE |
731651766 | BCBS OF DE (01) | DE |
731651766 | DELTA DENTAL (01) | |
731651766 | GUARDIAN DENTAL (01) | |
U75036 | (02) |