JEANNE K SPARKS

ENGLERT DERMATOLOGY LLC

Dr JEANNE K SPARKS is a female medical professional, specializing in Physician Assistant. She graduated in 2011 from Philadelphia College Of Osteopathic Medicine.

Contact

ENGLERT DERMATOLOGY LLC

3445 BOX HILL CORPORATE CTR DR
SUITE E
ABINGDON
MD
210091223

Tel: 4105695151

JEANNE K SPARKS Information

Npi 1932486644
Pac Id 2567638844
Professional Enrollment Id I20120109000565
Last Name SPARKS
First Name JEANNE
Middle Name K
Suffix
Gender F
Credential
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ENGLERT DERMATOLOGY LLC
Group Practice Pac Id 0446265888
Number Of Group Practice Members 11
Line 1 Street Address 3445 BOX HILL CORPORATE CTR DR
Line 2 Street Address SUITE E
Marker Of Address Line 2 Suppression
City ABINGDON
State MD
Zip Code 210091223
Phone Number 4105695151
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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