| Sparta Pediatrics, LLC | |
|
106 Main St Sparta NJ 07871-1912 | |
| (973) 729-7400 | |
| (973) 729-2201 |
| Full Name | Sparta Pediatrics, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 106 Main St, Sparta, New Jersey |
| Authorized Official Name and Position | Louis Jacobson (OWNER/PARTNER) |
| Authorized Official Contact | 9737297400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparta Pediatrics, LLC 106 Main St Sparta NJ 07871-1912 Ph: (973) 729-7400 | Sparta Pediatrics, LLC 106 Main St Sparta NJ 07871-1912 Ph: (973) 729-7400 |
| NPI Number | 1669706941 |
|---|---|
| Provider Enumeration Date | 09/20/2009 |
| Last Update Date | 09/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669706941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA07459800 (New Jersey) | Primary |
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