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Individual

DR. MATTHEW W SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3909
(607) 547-6325
Mailing address
96 ALUMNI AVE, PROVIDENCE, RI 02906-2333

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
19593
RI
2085R0202X
Diagnostic Radiology Physician
217715
MA
2085R0202X
Diagnostic Radiology Physician
Primary
232187
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02574216
NY
Enumeration date
04/18/2006
Last updated
10/03/2024
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