| Savin Medical Practice, Llc | |
|
603 Savin Avenue West Haven CT 06516 | |
| (203) 932-2400 | |
| (203) 932-2401 |
| Full Name | Savin Medical Practice, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 603 Savin Avenue, West Haven, Connecticut |
| Authorized Official Name and Position | Garth Oliver (MEMBER) |
| Authorized Official Contact | 2039322400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Savin Medical Practice, Llc 603 Savin Avenue West Haven CT 06516 Ph: (203) 932-2400 | Savin Medical Practice, Llc 603 Savin Avenue West Haven CT 06516 Ph: (203) 932-2400 |
| NPI Number | 1780768093 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537326293 |
|---|---|
| Medicare Enrollment ID | O20120208000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780768093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 065510 (Connecticut) | Primary |
| 207R00000X | Internal Medicine | 042530 (Connecticut) | Primary |
| 208000000X | Pediatrics | 042530 (Connecticut) | Primary |
| Provider Name | Garth Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285673145 PECOS PAC ID: 2860306495 Enrollment ID: I20031118000048 |
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