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General NPI Number Information
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NPI Number | 1205870631
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Entity Type | Individual
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Provider Name | STEPHEN R. SABO MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-522-2232
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Fax | 908-522-0227
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Provider Business Mailing Address
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Address Line | 20 GRAND ST FL 3
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City | WARWICK
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State | NY
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Zip | 10990-1035
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Country | US
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Telephone | 845-368-5000
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Fax | 845-987-5979
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MA61768
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License Number State | NJ
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