Provider Demographics
NPI:1033377411
Name:SPRAFKA, JOSEPH STANLEY JR (IDC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:STANLEY
Last Name:SPRAFKA
Suffix:JR
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:BLDG 39 LANSDOWNE RD
Mailing Address - Street 2:NAVAL BRANCH MEDICAL CLINIC
Mailing Address - City:LAKEHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:08733
Mailing Address - Country:US
Mailing Address - Phone:619-993-4551
Mailing Address - Fax:
Practice Address - Street 1:BLDG 39 LANSDOWNE RD
Practice Address - Street 2:NAVAL BRANCH MEDICAL CLINIC
Practice Address - City:LAKEHURST
Practice Address - State:NJ
Practice Address - Zip Code:08733
Practice Address - Country:US
Practice Address - Phone:619-993-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman