Healthcare Provider Details

I. General information

NPI: 1306962139
Provider Name (Legal Business Name): SABA & ASSOCIATES, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PARK CENTER CT SUITE 200
OWINGS MILLS MD
21117-4201
US

IV. Provider business mailing address

5 PARK CENTER CT SUITE 200
OWINGS MILLS MD
21117-4201
US

V. Phone/Fax

Practice location:
  • Phone: 410-363-4900
  • Fax: 410-363-9426
Mailing address:
  • Phone: 410-363-4900
  • Fax: 410-363-9426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberD0055867
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR045911
License Number StateMD

VIII. Authorized Official

Name: DR. JOANNA MINK SABA
Title or Position: PRESIDENT
Credential: MD
Phone: 410-363-4900