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NPI Code Detail

MEDICARE: GERALD J SABB

MEDICARE: GERALD J SABB
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
1363LF0000XFamily Nurse PractitionerNP1008451DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619713567
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD J SABB
Provider Business Mailing Address
First Line : 4 ATLANTIC ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-2350
Country : US
Telephone Number : 202-470-3080
Fax Number : 202-232-8494
Provider Business Practice Location Address
First Line : 4 ATLANTIC ST SW
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-2350
Country : US
Telephone Number : 202-470-3080
Fax Number : 202-232-8494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2024
Last Update Date : 05/28/2026

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Directions to “ GERALD J SABB ” Practice Location

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