Provider Demographics
NPI:1205367034
Name:SABBOUH, TONI
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:
Last Name:SABBOUH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SPRUCE ST STE 403
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4027
Mailing Address - Country:US
Mailing Address - Phone:215-829-8420
Mailing Address - Fax:215-829-8418
Practice Address - Street 1:700 SPRUCE ST STE 403
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4027
Practice Address - Country:US
Practice Address - Phone:215-829-8420
Practice Address - Fax:215-829-8418
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD477383207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology