Provider Demographics
NPI:1518009125
Name:DOUGLAS SPIEL, MD, PA
Entity Type:Organization
Organization Name:DOUGLAS SPIEL, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-548-2000
Mailing Address - Street 1:1921 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2036
Mailing Address - Country:US
Mailing Address - Phone:732-548-2000
Mailing Address - Fax:
Practice Address - Street 1:1921 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2036
Practice Address - Country:US
Practice Address - Phone:732-548-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083086Medicare ID - Type Unspecified
G63029Medicare UPIN