Basic Information
Provider Information
NPI: 1962144121
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPIEGEL
FirstName: ARIANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 833 CHESTNUT ST FL 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074404
CountryCode: US
TelephoneNumber: 2159551085
FaxNumber: 2159555041
Practice Location
Address1: 833 CHESTNUT ST FL 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074404
CountryCode: US
TelephoneNumber: 2159556776
FaxNumber: 2159551089
Other Information
ProviderEnumerationDate: 04/08/2022
LastUpdateDate: 06/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207V00000XMT227120PAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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