Healthcare Provider Details

I. General information

NPI: 1114909074
Provider Name (Legal Business Name): CAROL S SAVAGE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 AYER RD
HARVARD MA
01451-1132
US

IV. Provider business mailing address

325 AYER RD
HARVARD MA
01451-1132
US

V. Phone/Fax

Practice location:
  • Phone: 978-772-7225
  • Fax: 978-772-6898
Mailing address:
  • Phone: 978-772-7225
  • Fax: 978-772-6898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number81176
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: