Provider Demographics
NPI:1578616942
Name:SACCHIERI, THERESA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:ANN
Last Name:SACCHIERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:56 PAYNE RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-3262
Mailing Address - Country:US
Mailing Address - Phone:908-238-0100
Mailing Address - Fax:908-238-0951
Practice Address - Street 1:56 PAYNE RD
Practice Address - Street 2:SUITE 21
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-3262
Practice Address - Country:US
Practice Address - Phone:908-238-0100
Practice Address - Fax:908-238-0951
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2024-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25M07764100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI38328Medicare UPIN