Individual
DR. PAUL S. SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 S RIVER RD, BEDFORD, NH 03110-6708
(603) 695-2572
(603) 695-2727
Mailing address
25 S RIVER RD, BEDFORD, NH 03110-6708
(603) 695-2572
(603) 695-2727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7629
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001972
—
NH
Enumeration date
06/13/2006
Last updated
07/01/2011
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