Provider Demographics
NPI:1396044731
Name:SAVITRIFRIZZELL, SAVITRI (LMT)
Entity Type:Individual
Prefix:MRS
First Name:SAVITRI
Middle Name:
Last Name:SAVITRIFRIZZELL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SHORT HILLS AVE
Mailing Address - Street 2:SUITE #8
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2505
Mailing Address - Country:US
Mailing Address - Phone:973-912-0016
Mailing Address - Fax:973-912-9060
Practice Address - Street 1:1 SHORT HILLS AVE
Practice Address - Street 2:SUITE #8
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2505
Practice Address - Country:US
Practice Address - Phone:973-912-0016
Practice Address - Fax:973-912-9060
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2037174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator