Provider Demographics
NPI:1033371893
Name:SPEAR, JEFFREY PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PETER
Last Name:SPEAR
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 1:114 WOODLAND ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1208
Mailing Address - Country:US
Mailing Address - Phone:860-714-4001
Mailing Address - Fax:860-714-8046
Practice Address - Street 1:114 WOODLAND ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1208
Practice Address - Country:US
Practice Address - Phone:860-714-4001
Practice Address - Fax:860-714-8046
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT54628207P00000X
MA247473207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine