Individual
DR. TARAS WALTER SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
128 N DELSEA DR, CLAYTON, NJ 08312-1602
(856) 881-4089
(856) 881-4013
Mailing address
128 N DELSEA DR, CLAYTON, NJ 08312-1602
(856) 881-4089
(856) 881-4013
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00290500
NJ
Other
Enumeration date
06/23/2005
Last updated
12/19/2010
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