Spencer, Maya Angela
Spencer, Maya Angela is an sole proprietor health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Spencer, Maya Angela can be contacted via phone (781) 849-2300.Contact Information
Primary practice address
111 Grossman Dr
Braintree MA 02184-4997
Phone: (781) 849-2300
Fax: (781) 849-2377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | LP04599 | Rhode Island |
Profile Details
| NPI number | 1952968240 |
|---|---|
| LBN Legal business name | Spencer, Maya Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2019 |
| Last updated | Dec 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952968240 | NPPES |
| Rhode Island | MEDICAID | LP04599 |
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