Basic Information
Provider Information
NPI: 1417184342
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUL
FirstName: DAVID
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3026514200
FaxNumber: 3026514476
Practice Location
Address1: 1280 ALMONESSON RD
Address2:  
City: DEPTFORD
State: NJ
PostalCode: 08096
CountryCode: US
TelephoneNumber: 8563451403
FaxNumber: 8568059370
Other Information
ProviderEnumerationDate: 06/18/2009
LastUpdateDate: 09/09/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085P0229X25MA09531400NJY Allopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
2085R0202XC1-0011320DEN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XMD455296PAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home