Individual
DR. ROBERT NEIL SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3501 ROUTE 42, UNIT 360, TURNERSVILLE, NJ 08012-1752
(856) 875-8989
(856) 875-6978
Mailing address
3501 ROUTE 42, UNIT 360, TURNERSVILLE, NJ 08012
(856) 875-8989
(856) 875-6978
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00462500
NJ
152W00000X
Optometrist
Primary
27TO00054600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343304
—
NJ
Enumeration date
05/31/2006
Last updated
12/14/2011
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