Provider Demographics
NPI:1083671952
Name:SPIEGELMAN, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:SPIEGELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-7972
Practice Address - Street 1:68 MAIN ST
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1560
Practice Address - Country:US
Practice Address - Phone:978-433-6317
Practice Address - Fax:978-433-0567
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA41913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA70733OtherHARVARD-PILGRIM
MAB35010OtherBLUE CROSS BLUE SHIELD
MA706980OtherTUFTS
MA2056429Medicaid
MA980893OtherNETWORK HEALTH
MA706980OtherTUFTS
MAA35970Medicare UPIN