Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | MA55044 | NJ |
Y | 207VX0000X | Obstetrician | MA55044 | NJ |
NPI | 1073582011 |
---|---|
Provider Name | Dr. Michael Anthony Sbarra |
First Address | Hackensack, NJ 07601-1997 |
Second Address | Hackensack, NJ 07601-1997 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 30/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1226498 | UNITED HEALTHCARE (01) | NJ |
507533 | AETNA (01) | NJ |
F05164 | (02) | NJ |
J29768 | ACS HEALTHNET (01) | NJ |
P2093898 | OXFORD (01) | NJ |