Provider Demographics
NPI:1831628395
Name:SAMBATARO, JOSEPH STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STEVEN
Last Name:SAMBATARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:141 BLOOMFIELD AVE APT 403
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2729
Mailing Address - Country:US
Mailing Address - Phone:973-964-5570
Mailing Address - Fax:973-241-4138
Practice Address - Street 1:141 BLOOMFIELD AVE APT 403
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2729
Practice Address - Country:US
Practice Address - Phone:973-214-4599
Practice Address - Fax:973-241-4138
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT213961207R00000X
NJ25MA10902200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine