DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JONATHAN SPORN MD

MEDICARE: JONATHAN SPORN 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
1207RX0202XMedical Oncology Physician028198CT

Other Identifiers

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

General Provider Information

NPI Number : 1700889771
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN SPORN MD
Provider Business Mailing Address
First Line : 1000 ASYLUM AVE
Second Line : STE 2109A
City : HARTFORD
State : CT
Zip : 06105-1719
Country : US
Telephone Number : 860-714-6581
Fax Number : 860-714-8311
Provider Business Practice Location Address
First Line : 94 WOODLAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06105-1217
Country : US
Telephone Number : 860-714-4680
Fax Number : 860-714-8047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/15/2013

Similar Medicare Providers

1710980735 — SYED BILGRAMI MD
Practice Location Address:
94 WOODLAND ST
HARTFORD, CT
06105-1217
Practice Phone: 860-714-4680
Practice Fax: 860-714-8047
1134122104 — RICHARD EDWARDS MD
Practice Location Address:
94 WOODLAND ST
HARTFORD, CT
06105-1217
Practice Phone: 860-714-4680
Practice Fax: 860-714-8047
1447253422 — SUSAN RABINOWE MD
Practice Location Address:
94 WOODLAND ST
HARTFORD, CT
06105-1217
Practice Phone: 860-714-4680
Practice Fax: 860-714-8047
1417950494 — DR. ZIA RAHMAN MD
Practice Location Address:
94 WOODLAND ST
HARTFORD, CT
06105-1217
Practice Phone: 860-714-4680
Practice Fax: 860-714-8047
1821090432 — JOSE MORALES-MARIN PA
Practice Location Address:
94 WOODLAND ST , CANCER CENTER
HARTFORD, CT
06105-1217
Practice Phone: 860-714-4680
Practice Fax: 860-714-8047
1730181348 — AGATHA HECHT APRN
Practice Location Address:
94 WOODLAND ST , CANCER CENTER
HARTFORD, CT
06105-1217
Practice Phone: 860-714-4680
Practice Fax: 860-714-8057

Directions to “ JONATHAN SPORN MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.