Provider Demographics
NPI:1063470011
Name:SPIGELMAN, ZACHARY S (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:S
Last Name:SPIGELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6327
Mailing Address - Country:US
Mailing Address - Phone:508-383-8510
Mailing Address - Fax:508-383-8584
Practice Address - Street 1:6 TSIENNETO RD STE 204
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-421-2156
Practice Address - Fax:603-421-2307
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55820207RH0003X
NH18538207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3081893Medicaid
MA0008939OtherNEIGHBORHOOD HEALTH PLAN
MA110060833OtherRAILROAD MEDICARE
MA3004513OtherUNITED HEALTH CARE
MA006137OtherONE HEALTH PLAN
MA3004513OtherTUFTS
MAJ11619OtherBCBS
MA14391OtherHARVARD PILGRIM
NH30200149Medicaid
MA304783OtherCIGNA
MA64034OtherAETNA
MA0008939OtherNEIGHBORHOOD HEALTH PLAN