Provider Demographics
NPI:1013122977
Name:SPERLING, BRIAN LEE (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:LEE
Last Name:SPERLING
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2 IVY BROOK RD
Mailing Address - Street 2:STE 115
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6416
Mailing Address - Country:US
Mailing Address - Phone:203-924-2574
Mailing Address - Fax:203-924-5593
Practice Address - Street 1:2 IVY BROOK RD
Practice Address - Street 2:STE 115
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6416
Practice Address - Country:US
Practice Address - Phone:203-924-2574
Practice Address - Fax:203-924-5593
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2013-05-20
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Provider Licenses
StateLicense IDTaxonomies
CT51703208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1013122977Medicaid