Provider Demographics
NPI:1649557588
Name:SPINELLI, ROBERT NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NICHOLAS
Last Name:SPINELLI
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 1:1100 ARUNDEL DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2135
Mailing Address - Country:US
Mailing Address - Phone:302-994-4210
Mailing Address - Fax:
Practice Address - Street 1:1100 ARUNDEL DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2135
Practice Address - Country:US
Practice Address - Phone:302-994-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0D008482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry