Provider Demographics
NPI:1992740997
Name:SPECTOR, DAVID ALAN (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALAN
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4940 EASTERN AVE B2 NORTH
Mailing Address - Street 2:JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224
Mailing Address - Country:US
Mailing Address - Phone:410-550-0614
Mailing Address - Fax:410-550-7950
Practice Address - Street 1:4940 EASTERN AVE B2 NORTH
Practice Address - Street 2:JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-0614
Practice Address - Fax:410-550-7950
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0016722207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC238Medicare ID - Type Unspecified
C49329Medicare UPIN