Basic Information
| Provider Information | |||||||||
| NPI: | 1487812921 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GHIASSI | ||||||||
| FirstName: | SABER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 POST RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068245730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034189520 | ||||||||
| FaxNumber: | 2034189530 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 POST RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | FAIRFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068245730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034189520 | ||||||||
| FaxNumber: | 2034189530 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2008 | ||||||||
| LastUpdateDate: | 07/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 241098 | NY | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 53758 | CT | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.