Healthcare Provider Details

I. General information

NPI: 1184612954
Provider Name (Legal Business Name): HARVEY B SPECTOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD
UPLAND PA
19013-3902
US

IV. Provider business mailing address

2501 OREGON PIKE SUITE 101
LANCASTER PA
17601-4890
US

V. Phone/Fax

Practice location:
  • Phone: 610-447-2282
  • Fax: 610-447-2254
Mailing address:
  • Phone: 717-293-3223
  • Fax: 717-390-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD012787E
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: