Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 01072 | MD |
Y | 222Z00000X | Podiatrist | 01072 | MD |
NPI | 1033266010 |
---|---|
Provider Name | Dr. Adam Spector |
First Address | Rockville, MD 20850-1341 |
Second Address | Wheaton, MD 20902-1905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 28/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4384340001 | HERITAGE (01) | |
91588200 | (05) | MD |
U17635 | (02) | DC |