Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 205428 | MA |
N | 207YS0123X | Facial Plastic Surgeon | 205428 | MA |
NPI | 1932161577 |
---|---|
Provider Name | Mr. Jeffrey H. Spiegel |
First Address | Newton, MA 02459 |
Second Address | Newton, MA 02459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 05/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0112020 | (05) | MA |
H18519 | (02) | MA |