Provider Demographics
NPI:1477510832
Name:SPIEGEL, JOAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:H
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 LONGWOOD AVE
Mailing Address - Street 2:BRIGHAM AND WOMENS DEPT OF DERMATOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5804
Mailing Address - Country:US
Mailing Address - Phone:617-732-4918
Mailing Address - Fax:
Practice Address - Street 1:111 MORSE ST
Practice Address - Street 2:BRIGHAM AND WOMENS AT NORWOOD
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4602
Practice Address - Country:US
Practice Address - Phone:781-440-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52764207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology