Healthcare Provider Details

I. General information

NPI: 1003664194
Provider Name (Legal Business Name): MAHEEN SAYEED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MULLICA HILL RD
MULLICA HILL NJ
08062-4413
US

IV. Provider business mailing address

7 GRACE DR
MARLTON NJ
08053-5621
US

V. Phone/Fax

Practice location:
  • Phone: 856-508-8000
  • Fax:
Mailing address:
  • Phone: 847-975-8820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: