Healthcare Provider Details

I. General information

NPI: 1770710410
Provider Name (Legal Business Name): ROBERT SAVAGE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2009
Last Update Date: 06/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 WASHINGTON ST SUITE 205
WELLESLEY MA
02481-6219
US

IV. Provider business mailing address

332 WASHINGTON ST SUITE 205
WELLESLEY MA
02481-6219
US

V. Phone/Fax

Practice location:
  • Phone: 781-263-7333
  • Fax: 781-263-7337
Mailing address:
  • Phone: 781-263-7333
  • Fax: 781-263-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number48162
License Number StateMA

VIII. Authorized Official

Name: ROBERT SAVAGE
Title or Position: PRESIDENT
Credential: MD, FACS
Phone: 781-263-7333