Basic Information
Provider Information
NPI: 1083239024
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAGLIMBENE
FirstName: ARIANA
MiddleName: NICOLE
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 ARCH ST APT 202
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191031532
CountryCode: US
TelephoneNumber: 5169749722
FaxNumber:  
Practice Location
Address1: 2171 ROUTE 70 W
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080022733
CountryCode: US
TelephoneNumber: 8564060023
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/16/2020
LastUpdateDate: 11/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X25MB11648900NJY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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