Healthcare Provider Details

I. General information

NPI: 1659374502
Provider Name (Legal Business Name): JOSEPH J SFERRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 MONROE ST UNIT 106
SYLVANIA OH
43560-2779
US

IV. Provider business mailing address

1 SEAGATE STE 800
TOLEDO OH
43604-1558
US

V. Phone/Fax

Practice location:
  • Phone: 419-885-2525
  • Fax: 419-885-3253
Mailing address:
  • Phone: 419-885-2525
  • Fax: 419-885-3253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35061630
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: