Healthcare Provider Details

I. General information

NPI: 1124322102
Provider Name (Legal Business Name): DR. NORMAN F. SPECTOR, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 LIGHT ST
BALTIMORE MD
21230-4514
US

IV. Provider business mailing address

1425 LIGHT ST
BALTIMORE MD
21230-4514
US

V. Phone/Fax

Practice location:
  • Phone: 410-752-2330
  • Fax: 410-837-1595
Mailing address:
  • Phone: 410-752-2330
  • Fax: 410-837-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. NORMAN FRANK SPECTOR
Title or Position: PRESIDENT
Credential: D.C.
Phone: 410-752-2330