MEDICARE: DENNIS L. SPRECHER M.D.

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	207R00000X	Internal Medicine Physician	MD421124	PA
2	207RC0000X	Cardiovascular Disease Physician	MD421124	PA

General Provider Information

NPI Number	:	1164424776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS L. SPRECHER M.D.

Provider Business Mailing Address
First Line	:	3400 CIVIC CENTER BOULEVARD
Second Line	:	EAST PAVILION, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4306
Country	:	US
Telephone Number	:	215-615-4949
Fax Number	:	215-615-0829

Provider Business Practice Location Address
First Line	:	3400 CIVIC CENTER BOULEVARD
Second Line	:	EAST PAVILION, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4306
Country	:	US
Telephone Number	:	215-615-4949
Fax Number	:	215-615-0829

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	10/22/2012

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Directions to “ DENNIS L. SPRECHER M.D.” Practice Location

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