MEDICARE: BARBARA SPIVAK 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	207R00000X	Internal Medicine Physician	42733	MA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952301251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA SPIVAK MD

Provider Business Mailing Address
First Line	:	330 MT AUBURN ST
Second Line	:	PARSONS 2
City	:	WATERTOWN
State	:	MA
Zip	:	02472-1965
Country	:	US
Telephone Number	:	617-926-9000
Fax Number	:	617-926-7053

Provider Business Practice Location Address
First Line	:	480 PLEASANT ST STE A300
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-2463
Country	:	US
Telephone Number	:	617-926-9000
Fax Number	:	617-926-7053

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	03/31/2025

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Directions to “ BARBARA SPIVAK MD” Practice Location

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