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NPI Code Detail

MEDICARE: DR. MELVIN IRA SPIELBERG M.D.

MEDICARE: DR. MELVIN IRA SPIELBERG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician021584CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306801360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELVIN IRA SPIELBERG M.D.
Provider Business Mailing Address
First Line : 148 NORTH RD
Second Line :
City : EAST WINDSOR
State : CT
Zip : 06088-9502
Country : US
Telephone Number : 860-627-9423
Fax Number : 860-623-5226
Provider Business Practice Location Address
First Line : 148 NORTH RD
Second Line :
City : EAST WINDSOR
State : CT
Zip : 06088-9502
Country : US
Telephone Number : 860-627-9423
Fax Number : 860-623-5226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 03/29/2011

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