Healthcare Provider Details

I. General information

NPI: 1528689387
Provider Name (Legal Business Name): NICHOLAS JOHN SABA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 WHITNEY AVE STE 103
HAMDEN CT
06518-3253
US

IV. Provider business mailing address

2440 WHITNEY AVE STE 103
HAMDEN CT
06518-3253
US

V. Phone/Fax

Practice location:
  • Phone: 203-787-6161
  • Fax:
Mailing address:
  • Phone: 203-248-8080
  • Fax: 203-535-0860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number083986
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: