Provider Demographics
NPI:1083645394
Name:SAX, HELEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:SAX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 MILLTOWN RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4027
Mailing Address - Country:US
Mailing Address - Phone:302-993-2330
Mailing Address - Fax:302-993-2344
Practice Address - Street 1:J24 OMEGA DRIVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2060
Practice Address - Country:US
Practice Address - Phone:302-738-9100
Practice Address - Fax:302-738-9748
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA045574002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0004294Medicaid
NJ058485Medicare ID - Type Unspecified
DE167093ZDUSMedicare PIN
NJE39599Medicare UPIN
DE167093ZDURMedicare PIN
DE167093ZDUQMedicare PIN
NJ0004294Medicaid
DE167093ZDUTMedicare PIN
DE167093ZC7CMedicare PIN
DE167093ZDNDMedicare PIN