MEDICARE: DR. SILVANA SPERTUS D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	25MB06548900	NJ
2	207L00000X	Anesthesiology Physician	OS6533	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891719555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SILVANA SPERTUS D.O

Provider Business Mailing Address
First Line	:	154 ROCKAWAY RD
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-4408
Country	:	US
Telephone Number	:	908-832-1347
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 ROCKAWAY RD
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-4408
Country	:	US
Telephone Number	:	908-832-1347
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/11/2014

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Directions to “ DR. SILVANA SPERTUS D.O” Practice Location

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