Provider Demographics
NPI:1992752638
Name:SPARHAWK, DANA P B (MD)
Entity type:Individual
Prefix:
First Name:DANA P B
Middle Name:
Last Name:SPARHAWK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 POST RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1532
Mailing Address - Country:US
Mailing Address - Phone:401-738-8100
Mailing Address - Fax:
Practice Address - Street 1:2191 POST RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1532
Practice Address - Country:US
Practice Address - Phone:401-738-8100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA576532083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine