Organization
ROBERT E SAUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E SAUL (OWNER)
(570) 748-7072
Entity
Organization
Contact information
Practice address
930 BELLEFONTE AVE, LOCK HAVEN, PA 17745-2754
(570) 748-7072
(570) 748-7084
Mailing address
PO BOX 508, AVIS, PA 17721-0508
(570) 748-7072
(570) 748-7084
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
—
—
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07021094
—
PA
01
—
2109347
AETNA
PA
01
—
220984
HEALTHAMERICA/COVENTRY
PA
Enumeration date
04/28/2008
Last updated
01/07/2009
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