Spingarn, Roger W

Spingarn, Roger W is an individual health care provider with primary practice located at 1400 Centre St Suite 203, Newton Centre MA 02459-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Spingarn, Roger W can be contacted via phone (617) 244-9929.

Contact Information

Primary practice address
1400 Centre St Suite 203 Newton Centre MA 02459-2454
Phone: (617) 244-9929
Fax: (617) 244-9935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 77573 Massachusetts

Profile Details

NPI number 1871562041
LBN Legal business name Spingarn, Roger W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 5th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871562041 NPPES
Massachusetts MEDICAID 3142442

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