Healthcare Provider Details
I. General information
NPI: 1932290202
Provider Name (Legal Business Name): PLISKIN & SPIRITO ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 BARTLETT ST
LOWELL MA
01852-1334
US
IV. Provider business mailing address
PO BOX 2200
AMHERST NH
03031-4200
US
V. Phone/Fax
- Phone: 978-458-4300
- Fax: 978-458-4311
- Phone: 603-673-9411
- Fax: 603-673-9899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DORIS
PLISKIN
Title or Position: OWNER
Credential: M.D.
Phone: 978-458-4300