Provider Demographics
NPI:1366482846
Name:SAVIN, RONALD CLIFFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CLIFFORD
Last Name:SAVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 PARK ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5409
Mailing Address - Country:US
Mailing Address - Phone:203-865-6143
Mailing Address - Fax:203-772-1265
Practice Address - Street 1:134 PARK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5409
Practice Address - Country:US
Practice Address - Phone:203-865-6143
Practice Address - Fax:203-772-1265
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010966207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB38939Medicare UPIN
CT070000040Medicare ID - Type Unspecified