Individual
DR. NORMAN P SPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 LONGWOOD AVE, FLOOR 6, BOSTON, MA 02115-5711
(617) 355-5070
(617) 730-0194
Mailing address
100 SALISBURY RD, BROOKLINE, MA 02445-2107
(617) 738-6022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36582
MA
2080P0205X
Pediatric Endocrinology Physician
36582
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045760
—
MA
Enumeration date
11/01/2006
Last updated
05/09/2008
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