| Organization Name: | SPA2BIZ |
| NPI Number: | 1457764029 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELI TELYAS (LMT) |
| Mailing Address: | 45 Newbury St Ste 333 Boston |
| State: | MA US |
| Postal Code: | 021163177 |
| Phone Number: | 6174513881 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2014 |
| NPI Last Update Date: | 06/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 10159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |