Basic Information
| Provider Information | |||||||||
| NPI: | 1619109493 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SABRA | ||||||||
| FirstName: | OMAR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2033 BENTWOOD CT | ||||||||
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| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198043937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023791787 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1941 LIMESTONE RD | ||||||||
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| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198085408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029980300 | ||||||||
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| ProviderEnumerationDate: | 08/12/2009 | ||||||||
| LastUpdateDate: | 08/12/2009 | ||||||||
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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 | 207YX0901X | C7-0004377 | DE | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Otology & Neurotology |
No ID Information.