Healthcare Provider Details
I. General information
NPI: 1528069549
Provider Name (Legal Business Name): DUNCAN EDWARD SAVAGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/02/2005
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
317 S MANNING BLVD SUITE 100
ALBANY NY
12208-1738
US
IV. Provider business mailing address
PO BOX 14890
ALBANY NY
12212-4890
US
V. Phone/Fax
- Phone: 518-525-1404
- Fax: 518-525-1517
- Phone: 518-525-5634
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 170170 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: