Basic Information
Provider Information
NPI: 1780881029
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SABIA
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 FEDERAL ST STE SW200
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031155
CountryCode: US
TelephoneNumber: 8563564924
FaxNumber: 8563564710
Practice Location
Address1: 900 CENTENNIAL BLVD
Address2: BLDG 1, SUITES E & G
City: VOORHEES
State: NJ
PostalCode: 08043
CountryCode: US
TelephoneNumber: 8563256535
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2007
LastUpdateDate: 01/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X25MA07992600NJY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

ID Information
IDTypeStateIssuerDescription
159793301NJAETNAOTHER
6003361301NJHORIZON NJ HEALTHOTHER
P380781301NJOXFORDOTHER
01007833001NJAMERICHOICEOTHER
6003361201NJHORIZON NJ HEALTHOTHER
286200400001NJAMERIHEALTH/KEYSTONE/IBCOTHER
013619105NJ MEDICAID
159807401NJAETNAOTHER
280273201NJUNITED HEALTHCAREOTHER
065453601NJCIGNAOTHER


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