Provider Demographics
NPI:1134961956
Name:SAVASKYROSE CORP
Entity type:Organization
Organization Name:SAVASKYROSE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SAVASKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-808-9072
Mailing Address - Street 1:25 GARDENPATH
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-0157
Mailing Address - Country:US
Mailing Address - Phone:248-808-9072
Mailing Address - Fax:
Practice Address - Street 1:25 GARDENPATH
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92603-0157
Practice Address - Country:US
Practice Address - Phone:248-808-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty