Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 152350 | NY |
NPI | 1144304700 |
---|---|
Provider Name | Dr. Antonio Alfredo Saavedra II |
First Address | North Bergen, NJ 07047-6137 |
Second Address | Bronx, NY 10452-8001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |