Organization
IRA SPAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE M SAPPER (OFFICE MANAGER)
(860) 628-8789
Entity
Organization
Contact information
Practice address
620 MAIN ST, PLANTSVILLE, CT 06479-1538
(860) 682-9863
(860) 628-9863
Mailing address
620 MAIN ST, PLANTSVILLE, CT 06479-1538
(860) 682-9863
(860) 628-9863
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
017525
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001175256
—
CT
Enumeration date
04/08/2008
Last updated
11/05/2020
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