Healthcare Provider Details

I. General information

NPI: 1205812005
Provider Name (Legal Business Name): SAAD A SAAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 HOPE RD BLD 1 A
EATONTOWN NJ
07724-1277
US

IV. Provider business mailing address

615 HOPE RD BLD 1 A
EATONTOWN NJ
07724-1277
US

V. Phone/Fax

Practice location:
  • Phone: 732-935-0407
  • Fax: 732-935-0757
Mailing address:
  • Phone: 732-935-0407
  • Fax: 732-935-0757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number25MA03618500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: