Individual
BARBARA SPIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 PLEASANT ST STE A300, WATERTOWN, MA 02472-2463
(617) 926-9000
(617) 926-7053
Mailing address
330 MT AUBURN ST, PARSONS 2, WATERTOWN, MA 02472-1965
(617) 926-9000
(617) 926-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42733
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110038373A
—
MA
05
—
2071231
—
MA
Enumeration date
07/28/2005
Last updated
03/31/2025
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