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Contact Information

GEORGE SPIVACK, MD
97 BARNES RD
WALLINGFORD, CT06492-1885
 Phone: 203-284-3137
 Fax: 203-284-3130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GEORGE SPIVACK · (Male)

NPI # 1720017049
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 04/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 27399
  • CT Medicaid 1273994
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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