Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 48162 | MA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 48162 | MA |
NPI | 1255343562 |
---|---|
Provider Name | Robert C Savage |
First Address | Wellesley, MA 02481-6219 |
Second Address | Wellesley, MA 02481-6219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 04/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B99007 | (02) | MA |