Healthcare Provider Details

I. General information

NPI: 1780881029
Provider Name (Legal Business Name): MICHAEL SABIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CENTENNIAL BLVD BLDG 1, SUITES E & G
VOORHEES NJ
08043
US

IV. Provider business mailing address

1 FEDERAL ST STE SW200
CAMDEN NJ
08103-1155
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-6535
  • Fax:
Mailing address:
  • Phone: 856-356-4924
  • Fax: 856-356-4710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA07992600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: