STEPHANIE SPIVACK

PHILADELPHIA, PA
NPI1346690716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: PA  MD472961)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MD472961)
207R00000X Internal Medicine
(Licence: PA  MT212062)
Enumeration Date2016-06-16
Last Update Date2021-05-24
Business Address
STEPHANIE SPIVACK MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 201-893-3601
Mailing Address
STEPHANIE SPIVACK MD
257 S 16TH ST
PHILADELPHIA, PA 19102-3324
Phone number: