Provider Demographics
NPI:1164759346
Name:SPERRAZZA, JACLYN (DO)
Entity Type:Individual
Prefix:DR
First Name:JACLYN
Middle Name:
Last Name:SPERRAZZA
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:798 HAUSMAN RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9108
Practice Address - Country:US
Practice Address - Phone:610-973-3868
Practice Address - Fax:484-403-4021
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2016-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS015746207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine