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General NPI Number Information
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NPI Number | 1255862843
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Entity Type | Individual
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Provider Name | JOHN LEE SPITZER M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 385 TREMONT AVE # 11-E
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1023
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Country | US
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Telephone | 973-676-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 385 TREMONT AVE # 11-E
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1023
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Country | US
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Telephone | 973-676-1000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | A169346
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License Number State | CA
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