Basic Information
| Provider Information | |||||||||
| NPI: | 1396781464 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAVAGE | ||||||||
| FirstName: | BEVERLEY | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 HEMLOCK ST | ||||||||
| Address2: | |||||||||
| City: | KINGSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023642198 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815852888 | ||||||||
| FaxNumber: | 7819347006 | ||||||||
| Practice Location | |||||||||
| Address1: | 95 TREMONT ST | ||||||||
| Address2: | SUITE 10 | ||||||||
| City: | DUXBURY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023324738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7819347592 | ||||||||
| FaxNumber: | 7819347006 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 159011 | MA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.