Provider Demographics
NPI:1104981141
Name:SARVET-HABER, NANCY DEBRA (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:DEBRA
Last Name:SARVET-HABER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 BRAEBURN LN
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1506
Mailing Address - Country:US
Mailing Address - Phone:610-668-9020
Mailing Address - Fax:
Practice Address - Street 1:727 BRAEBURN LN
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1506
Practice Address - Country:US
Practice Address - Phone:610-668-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050300L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE57006Medicare UPIN
PA635257Medicare ID - Type Unspecified