Individual
TIMOTHY THOMAS SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4399
(215) 590-1220
Mailing address
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT217279
PA
Other
Enumeration date
05/31/2019
Last updated
04/30/2024
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