Provider Demographics
NPI:1861929200
Name:SABO, VANESSA A
Entity type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:A
Last Name:SABO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NEW ST APT 2
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-2867
Mailing Address - Country:US
Mailing Address - Phone:908-565-1721
Mailing Address - Fax:
Practice Address - Street 1:55 NEW ST APT 2
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-2867
Practice Address - Country:US
Practice Address - Phone:908-565-1721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care