Provider Demographics
NPI:1457311755
Name:SAVAGE, JOHN B (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:49 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1889
Mailing Address - Country:US
Mailing Address - Phone:315-265-0394
Mailing Address - Fax:315-265-0396
Practice Address - Street 1:6119 ST HIGHWAY RT 11
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617
Practice Address - Country:US
Practice Address - Phone:315-265-0394
Practice Address - Fax:315-265-0396
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYAS1535989207X00000X
NY239176-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD41055Medicare UPIN