Provider Demographics
NPI:1306856554
Name:SAVU, RALUCA IOANA (MD)
Entity Type:Individual
Prefix:
First Name:RALUCA
Middle Name:IOANA
Last Name:SAVU
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:PO BOX 4007
Mailing Address - Street 2:60 HODGES AVENUE EXT TAUNTON STATE HOSPITAL
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3034
Mailing Address - Country:US
Mailing Address - Phone:508-977-3000
Mailing Address - Fax:508-977-3751
Practice Address - Street 1:60 HODGES AVENUE EXT
Practice Address - Street 2:TAUNTON STATE HOSPITAL
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3034
Practice Address - Country:US
Practice Address - Phone:508-977-3000
Practice Address - Fax:508-977-3751
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2226612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA37369Medicare ID - Type Unspecified
112699Medicare UPIN