Individual
DR. TALYA R SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2309 E EVESHAM RD STE 201A, VOORHEES, NJ 08043-1559
(856) 325-5400
(856) 325-5416
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD190814
PA
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09451900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102478624
—
PA
Enumeration date
06/13/2007
Last updated
10/16/2020
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