Provider Demographics
| NPI: | 1760726343 |
|---|---|
| Name: | SAFE TRAVELS LLC |
| Entity type: | Organization |
| Organization Name: | SAFE TRAVELS LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CAREN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | GLASSMAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 240-238-1460 |
| Mailing Address - Street 1: | 15204 OMEGA DR |
| Mailing Address - Street 2: | SUITE 100 |
| Mailing Address - City: | ROCKVILLE |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 20850-4601 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 240-238-1460 |
| Mailing Address - Fax: | 301-279-6749 |
| Practice Address - Street 1: | 15204 OMEGA DR |
| Practice Address - Street 2: | SUITE 100 |
| Practice Address - City: | ROCKVILLE |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20850-4601 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 240-238-1460 |
| Practice Address - Fax: | 301-279-6749 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2012-11-20 |
| Last Update Date: | 2012-11-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine | Group - Single Specialty |