JULIE SPIVACK MD (Credential# 553529) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JULIE SPIVACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035936. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 425 Post Rd, Fairfield, CT 06824. The current status is active.
| Licensee Name | JULIE SPIVACK MD |
| Credential ID | 553529 |
| Credential Number | 1.035936 |
| Credential Type | Physician/Surgeon |
| Business Address |
425 Post Rd Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-04-11 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 181396 | CSP.0025476 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1404242 | CSP.0064839 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-28 | 2017-02-28 - 2019-02-28 | LAPSED |
| Street Address | 425 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neil E Smerling | 425 Post Rd, Fairfield, CT 06824-6232 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Kenneth Kingsly Md | 425 Post Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul E Berard | 425 Post Rd, Fairfield, CT 06824-6232 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kenneth R Mauer Md | 425 Post Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Glen A. Reznikoff | 425 Post Rd, Fairfield, CT 06824-6232 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Andrew Duda | 425 Post Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Endoscopy Center of Fairfield, The | 425 Post Rd, Fairfield, CT 06824-6232 | Out-patient Surgical Facility | 2018-07-01 ~ 2020-06-30 |
| Robert M Burd | 425 Post Rd, Fairfield, CT 06824 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Kenneth A Dressler Md | 425 Post Rd, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Spivack | 4479 Kingscote Road, BC VOR 1N2 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Barney Spivack Md | 101 Long Lots Road, Westport, CT 06880 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| George Spivack Md · Internal Medicine Associates, P.C. | Consulting Cardiologists, PC, Wallingford, CT 06492-6012 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julie Yip | 60 Temple St Ste 6a, New Haven, CT 06510-2716 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Julie L Sweeney Md | 14 Hickory Ln, Darien, CT 06820-3210 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Julie A Vernon | 62 Northgate, Avon, CT 06001 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Julie C Choi Md | 5 Duhamel Dr, Hopewell Jct, NY 12533-5364 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Julie Shih | 46 Prince St Ste 207, New Haven, CT 06519-1600 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julie A Monroe | 10 Halliday Ct, Purchase, NY 10577-2012 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Julie D Reimann | 2 Wells Ave, Newton, MA 02459-3225 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).