Healthcare Provider Details

I. General information

NPI: 1174658215
Provider Name (Legal Business Name): BENJAMIN AURTHUR SAWER MD FRCS C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MIDDLE ROAD 1 LOWER MARY ROAD COMMUNITY HEALTH CENTER
SAIPAN MP
96950
US

IV. Provider business mailing address

C/O DMA PO BOX 409 CK
SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-234-8950
  • Fax: 670-234-8930
Mailing address:
  • Phone: 670-234-8950
  • Fax: 670-234-8930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number258
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: