Healthcare Provider Details

I. General information

NPI: 1003886631
Provider Name (Legal Business Name): DAVID C SAVITZKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 DORIC AVE
CRANSTON RI
02680
US

IV. Provider business mailing address

249 ROOSEVELT AVE STE 205
PAWTUCKET RI
02860
US

V. Phone/Fax

Practice location:
  • Phone: 401-784-3600
  • Fax: 401-784-3636
Mailing address:
  • Phone: 401-724-8400
  • Fax: 401-365-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD07614
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: