Savage, Mary Ellen
Savage, Mary Ellen is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Psychiatry is her primary health care specialty. Savage, Mary Ellen can be contacted via phone (203) 781-4600.Contact Information
Primary practice address
1 Long Wharf Dr
New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 034013 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 034013 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 034013 | Connecticut |
Profile Details
| NPI number | 1417930629 |
|---|---|
| LBN Legal business name | Savage, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jan 9th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417930629 | NPPES |
| Connecticut | MEDICAID | 008001325 | |
| Connecticut | MEDICAID | 004041000 | |
| Connecticut | MEDICAID | 004217099 | |
| Connecticut | MEDICAID | 008022622 | |
| Connecticut | MEDICAID | 008042339 | |
| Connecticut | Other | C01033 | |
| Connecticut | MEDICAID | 001340132 | |
| Connecticut | MEDICAID | 500000315 | |
| Connecticut | MEDICAID | 008039745 | |
| Connecticut | MEDICAID | 008024427 | |
| Connecticut | MEDICAID | 004082260 | |
| Connecticut | MEDICAID | 004082286 | |
| Connecticut | MEDICAID | 008003745 | |
| Connecticut | MEDICAID | 008022626 | |
| Connecticut | MEDICAID | 008023170 |
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