Provider Demographics
NPI:1427613363
Name:SAGGESE, TREVOR J
Entity type:Individual
Prefix:MR
First Name:TREVOR
Middle Name:J
Last Name:SAGGESE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SHELTER ROCK RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3326
Mailing Address - Country:US
Mailing Address - Phone:203-521-4223
Mailing Address - Fax:
Practice Address - Street 1:86 SHELTER ROCK RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3326
Practice Address - Country:US
Practice Address - Phone:203-521-4223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program