Basic Information
| Provider Information | |||||||||
| NPI: | 1568496222 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPENCER | ||||||||
| FirstName: | TERRI | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21 BRADLEE RD | ||||||||
| Address2: | SUITE #22 | ||||||||
| City: | MEDFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021553161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7812786260 | ||||||||
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| Practice Location | |||||||||
| Address1: | NORWOOD HOSPITAL | ||||||||
| Address2: | 800 WASHINGTON STREET | ||||||||
| City: | NORWOOD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7812786260 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 223937 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.