Spivack, Talya R
Spivack, Talya R is an individual health care provider with primary practice located at 2309 E Evesham Rd Ste 201A , Voorhees NJ 08043-1559. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Spivack, Talya R can be contacted via phone (856) 325-5400.Contact Information
Primary practice address
2309 E Evesham Rd Ste 201A
Voorhees NJ 08043-1559
Phone: (856) 325-5400
Fax: (856) 325-5416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD190814 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA09451900 | New Jersey |
Profile Details
| NPI number | 1417151549 |
|---|---|
| LBN Legal business name | Spivack, Talya R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Oct 16th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417151549 | NPPES |
| Pennsylvania | MEDICAID | 102478624 |
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