Basic Information
Provider Information
NPI: 1033198817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPIEGEL
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 33 GERMANTOWN RD
Address2: 1ST FLOOR
City: DANBURY
State: CT
PostalCode: 068105038
CountryCode: US
TelephoneNumber: 2037945600
FaxNumber: 2037945611
Practice Location
Address1: 33 GERMANTOWN RD
Address2: 1ST FLOOR
City: DANBURY
State: CT
PostalCode: 068105038
CountryCode: US
TelephoneNumber: 2037945600
FaxNumber: 2037945611
Other Information
ProviderEnumerationDate: 01/11/2006
LastUpdateDate: 07/21/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500X027447CTY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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