Individual
MR. XENOPHON STEPHEN SPEROS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9700
Mailing address
45 HILLSIDE RD, ELIZABETH, NJ 07208-1245
(908) 967-4737
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00859900
NJ
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
06/17/2024
Last updated
09/04/2024
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