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Individual

DAL S SPERAZZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
525 REAR WYOMING AVE, KINGSTON, PA 18704-3602
(570) 714-2166
(570) 714-2177
Mailing address
525 REAR WYOMING AVE, KINGSTON, PA 18704-3602
(570) 714-2166
(570) 714-2177

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036948L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005540270007
PA
01
075825
FIRST PRIORITY HEALTH
PA
01
100651
HIGHMARK BLUE SHIELD
PA
01
20013574
AMERIHEALTH ADMINISTRATOR
PA
01
AA4036005
UNITED HEALTH CARE
PA
01
P024073
TRICARE
PA
Enumeration date
07/05/2006
Last updated
03/31/2008
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