Provider Demographics
NPI:1518944016
Name:SAFFER, ANDREW D (DPM)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:D
Last Name:SAFFER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:615 WESLEY DR
Mailing Address - Street 2:STE 340
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407
Mailing Address - Country:US
Mailing Address - Phone:843-225-5575
Mailing Address - Fax:843-225-5515
Practice Address - Street 1:615 WESLEY DR
Practice Address - Street 2:STE 340
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407
Practice Address - Country:US
Practice Address - Phone:843-225-5575
Practice Address - Fax:843-225-5515
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2967213E00000X
SC550213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL480033720OtherRAILROAD MEDICARE
FL2700760OtherUNITED HEALTHCARE
FL65742OtherBLUE CROSS BLUE SHIELD
FL65742OtherBLUE CROSS BLUE SHIELD
U90029Medicare UPIN
FL65742XMedicare ID - Type Unspecified