Provider Demographics
NPI:1982689352
Name:SAFT, STEVEN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:SAFT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 KINGS HWY N
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1902
Mailing Address - Country:US
Mailing Address - Phone:856-779-2800
Mailing Address - Fax:856-482-0831
Practice Address - Street 1:1001 KINGS HWY N
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1902
Practice Address - Country:US
Practice Address - Phone:856-779-2800
Practice Address - Fax:856-482-0831
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00117700213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3100707Medicaid
NJ222419322OtherTAXPAYER IDENTIFICATION
NJ148098Medicare ID - Type Unspecified
NJ222419322OtherTAXPAYER IDENTIFICATION