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Individual

DR. GREGORY SPISAK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 231-8772
(717) 231-8435
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116027206
VA
207R00000X
Internal Medicine Physician
Primary
OS018857
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103321101
PA
Enumeration date
06/13/2014
Last updated
12/10/2018
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