Healthcare Provider Details

I. General information

NPI: 1821061730
Provider Name (Legal Business Name): LEAH S SPITZER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 CENTRAL ST SUITE 116
FOXBORO MA
02035
US

IV. Provider business mailing address

132 CENTRAL STREET SUITE 116
FOXBORO MA
02035
US

V. Phone/Fax

Practice location:
  • Phone: 508-543-6306
  • Fax: 508-543-2976
Mailing address:
  • Phone: 508-543-6306
  • Fax: 508-543-2976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number60374
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: