Whalio Doctors

NPI 1003056433

Keith Michael Spellman, MD

Practitioner Diagnostic Radiology Physician Newark, NJ

Practice location

Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone
(973) 926-7960
Mailing address
148 Beachview Ave, Santa Cruz, CA 95060-3008

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence A107892 (CA)

Registry record

NPI
1003056433
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Feb 2009
Record last updated
26 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.