Healthcare Provider Details

I. General information

NPI: 1083645394
Provider Name (Legal Business Name): HELEN SAX MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

J24 OMEGA DRIVE
NEWARK DE
19713-2060
US

IV. Provider business mailing address

1601 MILLTOWN RD SUITE 13
WILMINGTON DE
19808-4027
US

V. Phone/Fax

Practice location:
  • Phone: 302-738-9100
  • Fax: 302-738-9748
Mailing address:
  • Phone: 302-993-2330
  • Fax: 302-993-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA04557400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: