Provider Demographics
NPI:1013059716
Name:SPIEL, DOUGLAS J (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:J
Last Name:SPIEL
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 1:1921 OAK TREE RD
Mailing Address - Street 2:DOUGLAS SPIEL, MD, PA
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:DOUGLAS SPIEL, MD, PA
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:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06967000208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00149615OtherRAILROAD MEDICARE
NJP00149615OtherRAILROAD MEDICARE
G63029Medicare UPIN