Spivack, Jerome
Spivack, Jerome is an individual health care provider with primary practice located at 522 E Broad St , Westfield NJ 07090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Spivack, Jerome can be contacted via phone (908) 654-6540.Contact Information
Primary practice address
522 E Broad St
Westfield NJ 07090
Phone: (908) 654-6540
Fax: (908) 654-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MA21532 | New Jersey |
Profile Details
| NPI number | 1427077536 |
|---|---|
| LBN Legal business name | Spivack, Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1427077536 | NPPES |
| New Jersey | MEDICAID | 2528002 |
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