Provider Demographics
NPI:1386922631
Name:JOSEPH M SPERDUTO MD PA
Entity type:Organization
Organization Name:JOSEPH M SPERDUTO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPERDUTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-278-5615
Mailing Address - Street 1:250 DIXIE BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3857
Mailing Address - Country:US
Mailing Address - Phone:561-278-5615
Mailing Address - Fax:561-278-3233
Practice Address - Street 1:250 DIXIE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3857
Practice Address - Country:US
Practice Address - Phone:561-278-5615
Practice Address - Fax:561-278-3233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty