MEDICARE: DR. STEVEN W SARNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	25MA05040100	NJ

General Provider Information

NPI Number	:	1205807930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN W SARNER M.D.

Provider Business Mailing Address
First Line	:	915 DOVE ISLAND RD
Second Line	:
City	:	NEWTON
State	:	NJ
Zip	:	07860-4509
Country	:	US
Telephone Number	:	973-383-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 HIGH ST
Second Line	:
City	:	NEWTON
State	:	NJ
Zip	:	07860-1004
Country	:	US
Telephone Number	:	973-383-1533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	08/17/2010

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