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NPI Code Detail

MEDICARE: DR. SAVVAS JOHN SARAGAS M.D.

MEDICARE:  DR. SAVVAS JOHN SARAGAS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician56814MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00200828OTHERMARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2152637BMCOTHERHARVARD PILGRIM HEALTHCAR
3710627OTHERTUFTS
5J06287OTHERBLUE CROSS BLUE SHIELD
6999998OTHERGREAT WEST HEALTH
70004347OTHERNEIGHBORHOOD HEALTH PLAN
8V48122OTHERNETWORK HEALTH
9123257OTHERGREAT WEST HEALTH

General Provider Information

NPI Number : 1134258171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAVVAS JOHN SARAGAS M.D.
Provider Business Mailing Address
First Line : 413 HIGHLAND AVE
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2516
Country : US
Telephone Number : 617-623-1900
Fax Number : 617-623-1919
Provider Business Practice Location Address
First Line : 413 HIGHLAND AVE
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2516
Country : US
Telephone Number : 617-623-1900
Fax Number : 617-623-1919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 09/08/2014

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