Individual
DR. JEFFREY A SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 FRANCIS ST, BOSTON, MA 02115-6105
(617) 732-5325
Mailing address
45 FRANCIS ST, BOSTON, MA 02115-6105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009030609
MO
207RR0500X
Rheumatology Physician
Primary
247357
MA
Other
Enumeration date
06/20/2007
Last updated
04/10/2014
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