Individual
DR. BENJAMIN A SABIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
685 MOUNT PROSPECT AVE # 2FL, NEWARK, NJ 07104-3151
(973) 350-9002
(973) 350-9009
Mailing address
44 JACKSON AVE, WAYNE, NJ 07470-5217
(201) 841-2472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07696900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027928
MEDICAID PROVIDER NUMBER
NJ
05
—
0027928
—
NJ
01
—
0083585
MEDICAID PROVIDER NUMBER
NJ
01
—
0121070
MEDICAID PROVIDER NUMBER
NJ
Enumeration date
11/11/2006
Last updated
10/01/2008
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