Individual
DR. DANIEL EHUD SPIVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7032
Mailing address
2022 GREEN ST, #2, PHILADELPHIA, PA 19130-3275
(215) 707-7032
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT182722
PA
Other
Enumeration date
07/18/2008
Last updated
10/18/2021
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