Provider Demographics
NPI:1386724011
Name:THE SAVIN CENTER, P.C.
Entity type:Organization
Organization Name:THE SAVIN CENTER, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-865-0815
Mailing Address - Street 1:134 PARK ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5409
Mailing Address - Country:US
Mailing Address - Phone:203-865-0815
Mailing Address - Fax:203-772-1265
Practice Address - Street 1:134 PARK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5409
Practice Address - Country:US
Practice Address - Phone:203-865-0815
Practice Address - Fax:203-772-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC01480Medicare ID - Type Unspecified