Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0200X | Radiology | NJ-38MC00208100 | NJ |
N | 213ER0200X | Radiology | NJ-38MC00208100 | NJ |
N | 111NR0400X | Rehabilitation Chiropractor | NJ-38MC00208100 | NJ |
NPI | 1952423899 |
---|---|
Provider Name | Dr. Larry Alan Sabel |
First Address | Lumberton, NJ 08048-0439 |
Second Address | Lumberton, NJ 08048-5015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |