Individual
DR. GEORGE L. SPAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 WALNUT ST, SUITE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Mailing address
840 WALNUT ST, SUITE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD006058E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053092000
KEYSTONE 65
PA
05
—
007303940002
—
PA
Enumeration date
06/02/2006
Last updated
06/10/2010
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