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General NPI Number Information
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NPI Number | 1689960676
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Entity Type | Individual
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Provider Name | DOUGLAS JAY SAPHIER M.D., MPH
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 87 RTE 17 N
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City | MAYWOOD
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State | NJ
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Zip | 07607
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Country | US
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Telephone | 201-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 498 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1809
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Country | US
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Telephone | 201-707-1498
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA09588200
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License Number State | NJ
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