Doctor Name: | DR. ELLIOT BRETT SAMBOL |
NPI Number: | 1336391499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA08575700 |
Business Practice Address: | 5 Plainsboro Road Suite 400 Plainsboro, NJ - 085361913 |
Business Phone Number: | 6099369100 |
Business Fax Number: | 6099369700 |
Mailing Address: | 5 Plainsboro Road, Suite 400 PLAINSBORO |
State: | NJ |
Postal Code: | 085361913 |
Phone Number: | 6099369100 |
Fax Number: | 6099369700 |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 25MA08575700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |