Provider Demographics
NPI:1346202330
Name:SARAVITZ, EUGENE M JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:M
Last Name:SARAVITZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1530 8TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1883
Mailing Address - Country:US
Mailing Address - Phone:610-691-3335
Mailing Address - Fax:610-974-9950
Practice Address - Street 1:1530 8TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-1883
Practice Address - Country:US
Practice Address - Phone:610-691-3335
Practice Address - Fax:610-974-9950
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039239E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012900950003Medicaid
PA469580JKDMedicare PIN
PA0012900950003Medicaid