Kendell Sprott in Newark - Pediatrics

Kendell Sprott - NPI 1063567659

Kendell Sprott is a Pediatrics in Newark, New Jersey. Kendell Sprott practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kendell Sprott is 1063567659. The last update date is 2009-08-18.

Kendell Sprott's current location address is 90 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720543 and fax number 9739720388. The mailing address for Kendell Sprott is 90 Bergen St, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendell Sprott
Address 90 Bergen St, Newark, New Jersey
Phone Number 9739720543
Fax Number 9739720388
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063567659
Provider Enumeration Date 2007-01-24
Last Updated Date 2009-08-18

Provider Mailing Address Detail

Address 90 Bergen St
City Newark
State New Jersey (NJ)
Post Code 71032425
Phone Number 9739720543
Fax Number 9739720388

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 25MA03693900
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3829502 NJ --

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FAQs about Kendell Sprott

What is the unique 10-digit identifier code assigned to Kendell Sprott by the Centers for Medicare & Medicaid Services?

The Kendell Sprott has been issued the NPI (National Provider Identifier) 1063567659 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kendell Sprott's facilities are geographically located?

The facilities of Kendell Sprott are physically situated at the following location: 90 Bergen St, Newark, NJ, 71032425.

What is Kendell Sprott's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kendell Sprott is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Kendell Sprott receive the assignment of its 1063567659 from the Centers for Medicare & Medicaid Services?

The Kendell Sprott was issued its 1063567659 by the Centers for Medicare & Medicaid Services on 2007-01-24.

When was the Kendell Sprott's information last updated?

The Kendell Sprott's information was last updated on 2009-08-18.

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