Provider Demographics
NPI:1649470808
Name:SPAETH, KATZ, MYERS PC
Entity type:Organization
Organization Name:SPAETH, KATZ, MYERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPAETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-928-3239
Mailing Address - Street 1:840 WALNUT ST
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5109
Mailing Address - Country:US
Mailing Address - Phone:215-928-3197
Mailing Address - Fax:
Practice Address - Street 1:37 MEDICAL CROSSING RD
Practice Address - Street 2:
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-5565
Practice Address - Country:US
Practice Address - Phone:215-928-3239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA044202Medicare PIN