Provider Demographics
NPI:1912948142
Name:SAUBERMAN, ROY B (MD)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:B
Last Name:SAUBERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNION ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-4219
Mailing Address - Country:US
Mailing Address - Phone:609-632-0140
Mailing Address - Fax:609-890-7292
Practice Address - Street 1:1640 HIGHWAY 88
Practice Address - Street 2:SUITE 201
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3068
Practice Address - Country:US
Practice Address - Phone:732-840-1900
Practice Address - Fax:732-840-0355
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06717400207RC0000X, 207RC0001X
PAMD468473207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG79340Medicare UPIN