Provider Demographics
NPI:1134466717
Name:SABERMAN, MARK NEAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:NEAL
Last Name:SABERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BAYPOINT VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-8411
Mailing Address - Country:US
Mailing Address - Phone:415-457-6044
Mailing Address - Fax:415-457-6032
Practice Address - Street 1:46 BAYPOINT VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-8411
Practice Address - Country:US
Practice Address - Phone:415-457-6044
Practice Address - Fax:415-457-6032
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG8870302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization