Holden Spivak, MD
Surgery in Providence, RI. Individual provider (NPI-1).
NPI number1982196218
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1982196218
- Entity type
- Individual (NPI-1)
- Name
- Holden Spivak
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2018
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD20640 | RI | Yes |
| 208600000X | Surgery | LP04314 | RI | |
| 208600000X | Surgery | 329166 | NY |
Practice location
2 Dudley St Ste 470Providence, RI 02905-3248
Phone 401-553-8355 · Fax 401-868-2328
Mailing address
22 S Greene StBaltimore, MD 21201-1544
Phone 410-328-9781
Other practice locations
Health Sciences Center Level 19, Rm 085
Stony Brook, NY 11794-1544
Stony Brook, NY 11794-1544
Phone 631-444-2034
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