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NPI Code Detail

MEDICARE: ANTHONY G SPARTOS MD

MEDICARE: ANTHONY G SPARTOS 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
1207Q00000XFamily Medicine Physician40830MA

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 : 1760475768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY G SPARTOS MD
Provider Business Mailing Address
First Line : 148 EAST AVE
Second Line : SUITE 3H
City : NORWALK
State : CT
Zip : 06851-5721
Country : US
Telephone Number : 203-354-6100
Fax Number : 203-354-6182
Provider Business Practice Location Address
First Line : 250 PARADISE RD
Second Line :
City : SWAMPSCOTT
State : MA
Zip : 01907-2948
Country : US
Telephone Number : 781-596-2000
Fax Number : 781-595-7111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 12/03/2009

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