Basic Information
Provider Information
NPI: 1093125601
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SABA
FirstName: RAMSEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 305 BLACK ROCK TPKE
Address2:  
City: FAIRFIELD
State: CT
PostalCode: 068255508
CountryCode: US
TelephoneNumber: 2033372600
FaxNumber: 2033372611
Practice Location
Address1: 305 BLACK ROCK TPKE
Address2:  
City: FAIRFIELD
State: CT
PostalCode: 068255508
CountryCode: US
TelephoneNumber: 2033372600
FaxNumber: 2033372611
Other Information
ProviderEnumerationDate: 05/05/2014
LastUpdateDate: 10/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X270770MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
208VP0014X62997CTN Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
207L00000X62997CTY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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