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Individual

ALISA SAVETAMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2811
(203) 384-3873
(203) 384-3829
Mailing address
PO BOX 5246, BRIDGEPORT, CT 06610-0246
(203) 384-3873
(203) 384-3829

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
044646
CT
2086S0127X
Trauma Surgery Physician
044646
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
044646
MEDICAL LICENSE
CT
Enumeration date
08/31/2006
Last updated
11/14/2014
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