Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 008503 | ME |
NPI | 1063625283 |
---|---|
Provider Name | Dr. George P Savidge |
First Address | South Portland, ME 04116-2617 |
Second Address | South Portland, ME 04106-2302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B86875 | (02) |