Healthcare Provider Details

I. General information

NPI: 1528373032
Provider Name (Legal Business Name): GEORGE ROY SAVASTIO N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 BORTHWICK AVE #102
PORTSMOUTH NH
03801-7156
US

IV. Provider business mailing address

155 BORTHWICK AVE #102
PORTSMOUTH NH
03801-7156
US

V. Phone/Fax

Practice location:
  • Phone: 603-610-7778
  • Fax: 603-610-7787
Mailing address:
  • Phone: 603-610-7778
  • Fax: 603-610-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number36
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: