Individual
DR. DANIEL PRIMES SPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
202340
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD040312L
PA
207RI0011X
Interventional Cardiology Physician
202340
NY
207RI0011X
Interventional Cardiology Physician
MD040312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010735940001
—
PA
05
—
01264768
—
NY
01
—
060060371
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039823
PA MEDICARE GROUP
PA
Enumeration date
02/22/2006
Last updated
04/07/2021
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