Provider Demographics
NPI:1194715292
Name:SPANGLER, ROBERT L (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:SPANGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:84 PINEWOOD DR
Mailing Address - Street 2:UNIT 3-B
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440
Mailing Address - Country:US
Mailing Address - Phone:978-632-8620
Mailing Address - Fax:978-630-6592
Practice Address - Street 1:84 PINEWOOD DR
Practice Address - Street 2:UNIT 3-B
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440
Practice Address - Country:US
Practice Address - Phone:978-632-8620
Practice Address - Fax:978-630-6592
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2010-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA73581207PE0004X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E73659Medicare UPIN
MAJ1067401Medicare UPIN