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Contact Information

ROMAN SPIVAK, MD
135 DIVISION ST STE 2
ANSONIA, CT06401-2135
 Phone: 203-308-2705
 Fax: 203-734-0137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROMAN SPIVAK · (Male)

NPI # 1780889493
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2007
Last updated 10/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 52868
  • NY License # 259527
Hospital affiliation(s)
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
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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