Provider Demographics
NPI:1700107620
Name:DONALD A SUGAR M.D., D-S, P.A.
Entity Type:Organization
Organization Name:DONALD A SUGAR M.D., D-S, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, D-S, PA
Authorized Official - Phone:973-827-7270
Mailing Address - Street 1:PO BOX 354
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:07416-9910
Mailing Address - Country:US
Mailing Address - Phone:973-827-7270
Mailing Address - Fax:973-827-4566
Practice Address - Street 1:RT 94 & 1 OXBOW LANE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NJ
Practice Address - Zip Code:07416-9910
Practice Address - Country:US
Practice Address - Phone:973-827-7270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ19011208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2662604Medicaid
NJ2662604Medicaid