Individual
DR. GEORGE SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 BARNES RD, WALLINGFORD, CT 06492-1885
(203) 284-3137
(203) 284-3130
Mailing address
97 BARNES RD, WALLINGFORD, CT 06492-1885
(203) 284-3137
(203) 284-3130
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27399
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1273994
—
CT
Enumeration date
06/30/2006
Last updated
04/29/2008
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