Healthcare Provider Details

I. General information

NPI: 1982874293
Provider Name (Legal Business Name): EDWARD V SARADARIAN MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 MADISON AVE
MORRISTOWN NJ
07960
US

IV. Provider business mailing address

26 MADISON AVE
MORRISTOWN NJ
07960
US

V. Phone/Fax

Practice location:
  • Phone: 973-539-3355
  • Fax: 973-539-0128
Mailing address:
  • Phone: 973-539-3355
  • Fax: 973-539-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: EDWARD VICTOR SARADARIAN
Title or Position: MD
Credential:
Phone: 973-539-3355