Healthcare Provider Details

I. General information

NPI: 1821000613
Provider Name (Legal Business Name): LLOYD ROBERT SABERSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ADVANCED DIAGNOSTIC PAIN TREATMENT CENTERS, PC 1 LONG WHARF DRIVE # 212
NEW HAVEN CT
06511
US

IV. Provider business mailing address

ADVANCED DIAGNOSTIC PAIN TREATMENT CENTERS, PC 1 LONG WHARF DRIVE # 212
NEW HAVEN CT
06511
US

V. Phone/Fax

Practice location:
  • Phone: 203-624-4208
  • Fax: 203-624-4301
Mailing address:
  • Phone: 203-624-4208
  • Fax: 203-624-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberCT029832
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number029832
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number029832
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: