Spivak, Roman
Spivak, Roman is an individual health care provider with primary practice located at 135 Division St Ste 2 , Ansonia CT 06401-2135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Spivak, Roman can be contacted via phone (203) 308-2705.Contact Information
Primary practice address
135 Division St Ste 2
Ansonia CT 06401-2135
Phone: (203) 308-2705
Fax: (203) 734-0137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 259527 | New York |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 52868 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 259527 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 52868 | Connecticut |
Profile Details
| NPI number | 1780889493 |
|---|---|
| LBN Legal business name | Spivak, Roman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Oct 12th, 2018 - about 8 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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