Doctor Name: | MARC SCOTT SPIEGEL |
NPI Number: | 1104180595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 2431 |
Business Practice Address: | 145 Rosemary St Ste B Needham, MA - 024943259 |
Business Phone Number: | 7814441129 |
Business Fax Number: | 7814443666 |
Mailing Address: | 145 Rosemary St Ste B, NEEDHAM |
State: | MA |
Postal Code: | 024943259 |
Phone Number: | 7814441129 |
Fax Number: | 7814443666 |
NPI Enumeration Date: | 06/29/2012 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 2431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |