Provider Demographics
NPI:1881694891
Name:SAVAGE, ROBERT T (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:SAVAGE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:320 SANTA FE DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5138
Mailing Address - Country:US
Mailing Address - Phone:760-632-4269
Mailing Address - Fax:760-632-4256
Practice Address - Street 1:320 SANTA FE DR
Practice Address - Street 2:SUITE 308
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5138
Practice Address - Country:US
Practice Address - Phone:760-632-4269
Practice Address - Fax:760-632-4256
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2012-09-21
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Provider Licenses
StateLicense IDTaxonomies
CAG27715207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00L76UMedicare PIN