Provider Demographics
NPI:1811070907
Name:SPRINZ, PHILIPPA GABRIELLE (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIPPA
Middle Name:GABRIELLE
Last Name:SPRINZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 WORCESTER SQ APT 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2912
Mailing Address - Country:US
Mailing Address - Phone:413-847-0853
Mailing Address - Fax:401-444-8845
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5241
Practice Address - Fax:401-444-8845
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2036132080P0207X
RIMD14873208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMD14873OtherLICENSE
MA110001888AMedicaid