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General NPI Number Information
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NPI Number | 1164420824
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Entity Type | Individual
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Provider Name | SCOTT SAFFRAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 111 CENTRAL AVE
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City | NEWARK
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State | NJ
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Zip | 07102-1909
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Country | US
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Telephone | 973-877-5034
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Fax | 973-877-5231
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Provider Business Mailing Address
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Address Line | 3998 FAIR RIDGE DR SUITE 300
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City | FAIRFAX
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State | VA
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Zip | 22033-2907
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Country | US
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Telephone | 703-295-9360
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Fax | 703-766-9725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA57080
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA0570800
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License Number State | NJ
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