Individual
JONATHAN SPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 WOODLAND ST, HARTFORD, CT 06105-1217
(860) 714-4680
(860) 714-8047
Mailing address
1000 ASYLUM AVE, STE 2109A, HARTFORD, CT 06105-1719
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
028198
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001281989
—
CT
Enumeration date
05/24/2005
Last updated
01/15/2013
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