Individual
JUSTIN ROBERT SPERLAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
MACNIDER HALL 333 SOUTH COLUMBIA STREET, PEDIATRIC EDUCATION OFFICE, CHAPEL HILL, NC 27514
(919) 966-3172
(919) 966-8419
Mailing address
PEDIATRIC EDUCATION OFFICE CB 7593, CHAPEL HILL, NC 27599-7593
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
239095
NC
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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