Provider Demographics
NPI:1699786764
Name:SAVITT, JEFFREY MARTIN (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARTIN
Last Name:SAVITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 ROUTE 88
Mailing Address - Street 2:SUITE H
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2373
Mailing Address - Country:US
Mailing Address - Phone:732-840-9000
Mailing Address - Fax:732-840-6665
Practice Address - Street 1:1541 ROUTE 88
Practice Address - Street 2:SUITE H
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2373
Practice Address - Country:US
Practice Address - Phone:732-840-9000
Practice Address - Fax:732-840-6665
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO3235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222777237OtherTIN
NJ222777237OtherTIN