Provider Demographics
NPI:1124307616
Name:SABEL, SVETLANA LANTSMAN (MD)
Entity type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:LANTSMAN
Last Name:SABEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SVETLANA
Other - Middle Name:YEFIMOVNA
Other - Last Name:LANTSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1429
Mailing Address - Country:US
Mailing Address - Phone:804-873-8634
Mailing Address - Fax:
Practice Address - Street 1:375 MOUNT PLEASANT AVE STE 105
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:973-322-6900
Practice Address - Fax:973-322-6999
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10048600208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics