MEDICARE: CHARLES EDWARD SPINGOLA MD

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
1	207X00000X	Orthopaedic Surgery Physician	MD 037925 E	PA
2	207X00000X	Orthopaedic Surgery Physician	LT4098	NH

Other Identifiers

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

General Provider Information

NPI Number	:	1568466951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES EDWARD SPINGOLA MD

Provider Business Mailing Address
First Line	:	131 GROSVENOR AVE
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-1618
Country	:	US
Telephone Number	:	724-679-8527
Fax Number	:	724-278-8549

Provider Business Practice Location Address
First Line	:	131 GROSVENOR AVE
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-1618
Country	:	US
Telephone Number	:	724-679-8527
Fax Number	:	724-278-8549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	11/04/2023

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Directions to “ CHARLES EDWARD SPINGOLA MD” Practice Location

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