Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | BP10052645 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 25MA10545100 | NJ |
NPI | 1891175436 |
---|---|
Provider Name | Sean David Spector |
First Address | Philadelphia, PA 19107-4951 |
Second Address | Camden, NJ 08103-1461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2015 |
Last Update Date | 13/06/2019 |