Spivack, George

Spivack, George is an individual health care provider with primary practice located at 97 Barnes Rd , Wallingford CT 06492-1885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Spivack, George can be contacted via phone (203) 284-3137.

Contact Information

Primary practice address
97 Barnes Rd Wallingford CT 06492-1885
Phone: (203) 284-3137
Fax: (203) 284-3130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 27399 Connecticut

Profile Details

NPI number 1720017049
LBN Legal business name Spivack, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720017049 NPPES
Connecticut MEDICAID 1273994

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