Healthcare Provider Details

I. General information

NPI: 1629299839
Provider Name (Legal Business Name): RONALD J SAVARESE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 INNOVATION DR STE 4120
YORK PA
17408-8815
US

IV. Provider business mailing address

1703 INNOVATION DR STE 108
YORK PA
17408-8815
US

V. Phone/Fax

Practice location:
  • Phone: 717-849-5576
  • Fax: 717-849-5596
Mailing address:
  • Phone: 717-849-5576
  • Fax: 717-849-5596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS014139
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberOS014139
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MB08067600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS014139
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: