Dr. Norman P Spack
Pediatrician Pediatric Endocrinologist
333 Longwood Ave Floor 6
Boston
, Massachusetts 02115-5711
Dr. Norman P Spack
Pediatrician Pediatric Endocrinologist
333 Longwood Ave Floor 6
Boston
, Massachusetts 02115-5711
(617) 738-6022
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Norman P Spack
- 100 Salisbury Rd
- Brookline, MA
- Zip : 02445-2107
- Phone : (617) 738-6022
Second Address
- Dr. Norman P Spack
- 333 Longwood Ave Floor 6
- Boston, MA
- Zip : 02115-5711
- Fax : (617) 730-0194
- Phone : (617) 355-5070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 36582 | MA |
| N | 2080P0205X | Pediatric Endocrinologist | 36582 | MA |
National Provider Identifier
| NPI | 1497832240 |
|---|---|
| Provider Name | Dr. Norman P Spack |
| First Address | Brookline, MA 02445-2107 |
| Second Address | Boston, MA 02115-5711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 09/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2045760 | (05) | MA |
| A67381 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.