Doctor Name: | MICHAEL SPIVAK |
NPI Number: | 1063484970 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 25MB0218077 |
Business Practice Address: | 1505 W Sherman Ave Vineland, NJ - 083606912 |
Business Phone Number: | 6104593113 |
Business Fax Number: | |
Mailing Address: | 1505 W Sherman Ave, VINELAND |
State: | NJ |
Postal Code: | 083606912 |
Phone Number: | 6104593113 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 09/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 25MB0218077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |