Individual
JACOB SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8360 OLD YORK RD, ELKINS PARK, PA 19027-1576
(215) 780-1400
Mailing address
8360 OLD YORK RD, ELKINS PARK, PA 19027-1576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066230
PA
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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