Basic Information
Provider Information
NPI: 1528033727
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAVOCA
FirstName: CATHRYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 30170
Address2:  
City: WILMINGTON
State: DE
PostalCode: 19805
CountryCode: US
TelephoneNumber: 3026237362
FaxNumber: 3026237374
Practice Location
Address1: 1401 FOULK RD
Address2:  
City: WILMINGTON
State: DE
PostalCode: 19803
CountryCode: US
TelephoneNumber: 3024773300
FaxNumber: 3024773168
Other Information
ProviderEnumerationDate: 02/21/2006
LastUpdateDate: 06/25/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XC10007507DEY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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