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Organization
SPARTA MEDICAL ASSOCIATES, P.A.
Active
Organization
SPARTA MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BOLLARD DO (PRESIDENT)
(973) 940-0423
Entity
Organization
Contact information
Practice address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
MA62079
NJ
207RC0000X
Cardiovascular Disease Physician
MA65584
NJ
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2609606
—
NJ
Enumeration date
08/30/2005
Last updated
06/28/2012
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