Healthcare Provider Details

I. General information

NPI: 1346095171
Provider Name (Legal Business Name): SARAH DAOUD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SYLVAN AVE STE 302
ENGLEWOOD CLIFFS NJ
07632-2560
US

IV. Provider business mailing address

140 SYLVAN AVE STE 302
ENGLEWOOD CLIFFS NJ
07632-2560
US

V. Phone/Fax

Practice location:
  • Phone: 201-568-8400
  • Fax: 201-568-8554
Mailing address:
  • Phone: 201-568-8400
  • Fax: 201-568-8554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00850500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: