Healthcare Provider Details
I. General information
NPI: 1790959088
Provider Name (Legal Business Name): SABA & ASSOCIATES, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2008
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 PARK CENTER CT SUITES 200 & 203
OWINGS MILLS MD
21117-4201
US
IV. Provider business mailing address
5 PARK CENTER CT SUITES 200 & 203
OWINGS MILLS MD
21117-4201
US
V. Phone/Fax
- Phone: 410-363-4900
- Fax: 410-363-9426
- Phone: 410-363-4900
- Fax: 410-363-9426
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOANNA
M
SABA
Title or Position: OWNER
Credential: M.D.
Phone: 410-363-4900