Healthcare Provider Details

I. General information

NPI: 1063248276
Provider Name (Legal Business Name): ERIC SAVARESE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON ROAD 3RD FLOOR
NEWARK DE
19718-2200
US

IV. Provider business mailing address

1600 BLOSSOMWOOD DR APT 303
ASHEVILLE NC
28803-0287
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-3475
  • Fax: 302-325-7056
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0012264
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: