Provider Demographics
NPI:1790844934
Name:SABBAGH, RICHARD M (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:SABBAGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MORRIS AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5675
Mailing Address - Country:US
Mailing Address - Phone:732-906-9600
Mailing Address - Fax:908-686-6476
Practice Address - Street 1:922 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2602
Practice Address - Country:US
Practice Address - Phone:732-906-9600
Practice Address - Fax:908-686-6476
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00456400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ598721Medicare ID - Type Unspecified