Healthcare Provider Details

I. General information

NPI: 1639111602
Provider Name (Legal Business Name): ANNE SAVARESE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S PACA ST SUITE 300 6TH FL
BALTIMORE MD
21201-1642
US

IV. Provider business mailing address

PO BOX 64374
BALTIMORE MD
21264-4374
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6720
  • Fax: 410-328-1674
Mailing address:
  • Phone: 410-328-6720
  • Fax: 410-328-1674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberD40262
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD40262
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD40262
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: