Healthcare Provider Details

I. General information

NPI: 1538194188
Provider Name (Legal Business Name): REBECCA L. SAHLMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA L. BLEI SAHLMAN M.D.

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 CHAPEL AVE W ATTN: RADIOLOGY DEPARTMENT
CHERRY HILL NJ
08002
US

IV. Provider business mailing address

1001 BRIGGS RD SUITE 210
MOUNT LAUREL NJ
08054-4100
US

V. Phone/Fax

Practice location:
  • Phone: 856-488-6844
  • Fax: 856-488-6507
Mailing address:
  • Phone: 856-231-4774
  • Fax: 856-231-9699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number25MA07598900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number25MA07598900
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA07598900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: