Provider Demographics
NPI:1578548939
Name:SPIRO, PAUL D (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:SPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:DH PHYSICIANS PO BOX 829641
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-9641
Mailing Address - Country:US
Mailing Address - Phone:267-370-5296
Mailing Address - Fax:215-230-3725
Practice Address - Street 1:4897 YORK ROAD
Practice Address - Street 2:
Practice Address - City:BUCKINGHAM
Practice Address - State:PA
Practice Address - Zip Code:18912
Practice Address - Country:US
Practice Address - Phone:215-794-7471
Practice Address - Fax:215-794-2576
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2019-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034236E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001148210Medicaid
PA159788JZWMedicare ID - Type Unspecified
PAB40275Medicare UPIN