Provider Demographics
NPI:1710466198
Name:SABIDO, GLORIA (APN)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:SABIDO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 MORSETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-3204
Mailing Address - Country:US
Mailing Address - Phone:201-841-2472
Mailing Address - Fax:973-506-6566
Practice Address - Street 1:402 MORSETOWN RD
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-3204
Practice Address - Country:US
Practice Address - Phone:201-841-2472
Practice Address - Fax:973-506-6566
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00842800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily