Basic Information
Provider Information
NPI: 1275827651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SASLO
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3131 PRINCETON PIKE
Address2: BLDG 5 SUITE 208
City: LAWRENCEVILLE
State: NJ
PostalCode: 08648
CountryCode: US
TelephoneNumber: 6098157829
FaxNumber: 6098157894
Practice Location
Address1: 750 BRUNSWICK AVE
Address2:  
City: TRENTON
State: NJ
PostalCode: 086384143
CountryCode: US
TelephoneNumber: 6093946000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/03/2011
LastUpdateDate: 11/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X25MB09429000NJY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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