Organization
SHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUHEIL SABA M.D. (OWNER)
(973) 772-8878
Entity
Organization
Contact information
Practice address
1300 MAIN AVE, SUITE 2A, CLIFTON, NJ 07011-2266
(973) 772-8878
(973) 772-8803
Mailing address
1300 MAIN AVE, SUITE 2A, CLIFTON, NJ 07011-2266
(973) 772-8878
(973) 772-8803
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA06530700
NJ
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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