Provider Demographics
NPI:1730645193
Name:SABA FOOT & ANKLE SPECIALIST LLC
Entity Type:Organization
Organization Name:SABA FOOT & ANKLE SPECIALIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFZAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-375-4997
Mailing Address - Street 1:195 ROUTE 9 STE 108A
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8119
Mailing Address - Country:US
Mailing Address - Phone:201-375-4997
Mailing Address - Fax:
Practice Address - Street 1:195 ROUTE 9 STE 108
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8294
Practice Address - Country:US
Practice Address - Phone:518-256-1176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric