Basic Information
Provider Information
NPI: 1821298795
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TEMPESTA
FirstName: SABRINA
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 466 OLD HOOK RD
Address2: SUITE 1
City: EMERSON
State: NJ
PostalCode: 07630
CountryCode: US
TelephoneNumber: 2019678221
FaxNumber: 2016349647
Practice Location
Address1: 466 OLD HOOK RD
Address2: SUITE 1
City: EMERSON
State: NJ
PostalCode: 07630
CountryCode: US
TelephoneNumber: 2019678221
FaxNumber: 2016349647
Other Information
ProviderEnumerationDate: 07/19/2007
LastUpdateDate: 06/02/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X25MB08168500NJY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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