=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275742587
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JENNIFER N SAGGIO MSN, CRNP, CPON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 34TH ST AND CIVIC CTR BLVD THE CHILDREN'S HOSPITAL OF PHILADELPHIA -ONCOLOGY DEPT
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-590-2818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35 SWARTHMORE AVE
-----------------------------------------------------
City | STRATFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08084-1736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-784-0490
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | SP005397N
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------