Individual
THEODORE A SPEVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
43 HIGH ST, SUITE 250, WAREHAM, MA 02571-2097
(508) 273-4680
Mailing address
200 MILL RD, SUITE 350, FAIRHAVEN, MA 02719
(508) 999-1100
(508) 999-7222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
159275
MA
Other
Enumeration date
05/03/2006
Last updated
09/01/2009
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