Provider Demographics
NPI:1518012699
Name:SPIELHOLZ, KATE MELANIE (MD)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:MELANIE
Last Name:SPIELHOLZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:703 PINEHURST CT
Mailing Address - Street 2:UNIT3
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8787
Mailing Address - Country:US
Mailing Address - Phone:908-688-1538
Mailing Address - Fax:908-687-4747
Practice Address - Street 1:172 HALSTED ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2663
Practice Address - Country:US
Practice Address - Phone:973-678-3133
Practice Address - Fax:973-678-6305
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA54280208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6246902Medicaid
NJ020158BXBMedicare ID - Type Unspecified