MEDICARE: DON SPEERS JR. MD

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	207Q00000X	Family Medicine Physician	04-25745	KS

General Provider Information

NPI Number	:	1407838667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON SPEERS JR. MD

Provider Business Mailing Address
First Line	:	72 GRISTMILL RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3150
Country	:	US
Telephone Number	:	732-886-2541
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 STEPHENSON AVE
Second Line	:
City	:	FT. MONMOUTH
State	:	NJ
Zip	:	07703
Country	:	US
Telephone Number	:	732-532-1341
Fax Number	:	732-532-3452

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	03/07/2023

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