Provider Demographics
NPI:1447642368
Name:SPETH, CLAUS PETER (MD)
Entity type:Individual
Prefix:
First Name:CLAUS
Middle Name:PETER
Last Name:SPETH
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 1:501 PRINCETON BLVD
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1333
Mailing Address - Country:US
Mailing Address - Phone:856-415-0803
Mailing Address - Fax:
Practice Address - Street 1:501 PRINCETON BLVD
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1333
Practice Address - Country:US
Practice Address - Phone:856-415-0803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04074800207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology