Provider Demographics
NPI:1447358106
Name:SPENCE, DENISE (MD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:SPENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 UNIVERSITY DR
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2357
Mailing Address - Country:US
Mailing Address - Phone:413-549-7080
Mailing Address - Fax:413-923-9305
Practice Address - Street 1:100 UNIVERSITY DR
Practice Address - Street 2:1ST FLOOR
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2357
Practice Address - Country:US
Practice Address - Phone:413-549-7080
Practice Address - Fax:413-923-9305
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA151875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ17976OtherBCBS OF MASS
MA3158675Medicaid
MA66770OtherHARVARD
MA20868OtherHEALTH NEW ENGLAND
MA66770OtherHARVARD
MAJ17976OtherBCBS OF MASS