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Provider Information for 1366400756

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SAMANTHA A SPENCER M.D.

Gender: FEMALE

Individual NPI: 1366400756

Calendar   Last Updated:  2013-02-12
  Certification Date: 

Details

Name Value
NPI 1366400756
Enumeration Date 2006-05-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2 HAWTHORNE PL APT. #14H
BOSTON, MA 02114-2343
United States

Phone: 617-355-6617 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE CHILDREN'S HOSP. - ORTHOPAEDICS
BOSTON, MA 02115
United States

Phone: 617-355-6617 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207X00000X - Orthopaedic Surgery MA 224225