Individual
DR. OTTO FIZTGERALD SABANDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-2000
(973) 754-2249
Mailing address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503
(973) 754-2000
(973) 754-2249
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
072765
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054828
—
NJ
Enumeration date
07/28/2006
Last updated
10/02/2008
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