Provider Demographics
NPI:1598760324
Name:SAVORY, JAMES EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EUGENE
Last Name:SAVORY
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 1:805 MIFFLIN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1717
Mailing Address - Country:US
Mailing Address - Phone:814-643-6150
Mailing Address - Fax:814-643-6822
Practice Address - Street 1:805 MIFFLIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1717
Practice Address - Country:US
Practice Address - Phone:814-643-6150
Practice Address - Fax:814-643-6822
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023567E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA114096OtherBLUE SHIELD AND ALL OTHER
PA0009410200002Medicaid
PAB36946Medicare UPIN
PA0009410200002Medicaid