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Individual

H TODD SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3130 STATE HWY RTE 6, WELLFLEET, MA 02667-7402
(508) 349-3131
(508) 349-1311
Mailing address
PO BOX 1413, WELLFLEET, MA 02667-1413
(508) 905-2800
(508) 240-1244

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55833
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80001854
NH
01
S400253655
MEDICARE PTAN
MA
Enumeration date
06/06/2006
Last updated
08/05/2016
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