Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | OS006543L | PA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS006543L | PA |
NPI | 1497820385 |
---|---|
Provider Name | Dr. Stanley J Savinese JR. |
First Address | Chester, PA 19013-2040 |
Second Address | Glen Mills, PA 19342-1059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 06/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001609030 | (05) | PA |
E64036 | (02) | PA |