Spivak, Barbara

Spivak, Barbara is an individual health care provider with primary practice located at 521 Mount Auburn St Ste 202, Watertown MA 02472-4191. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Spivak, Barbara can be contacted via phone (617) 926-9000.

Contact Information

Primary practice address
521 Mount Auburn St Ste 202 Watertown MA 02472-4191
Phone: (617) 926-9000
Fax: (617) 926-7503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42733 Massachusetts

Profile Details

NPI number 1952301251
LBN Legal business name Spivak, Barbara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 9th, 2009 - about 15 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 1952301251 NPPES
Massachusetts MEDICAID 2071231

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