Provider Demographics
NPI:1114909074
Name:SAVAGE, CAROL S (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:S
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 AYER RD
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1132
Mailing Address - Country:US
Mailing Address - Phone:978-772-7225
Mailing Address - Fax:978-772-6898
Practice Address - Street 1:325 AYER RD
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1132
Practice Address - Country:US
Practice Address - Phone:978-772-7225
Practice Address - Fax:978-772-6898
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81176207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA21205Medicare PIN
G26259Medicare UPIN