Healthcare Provider Details
I. General information
NPI: 1275055758
Provider Name (Legal Business Name): HAFIZ SAAD NAEEM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/17/2017
Last Update Date: 08/31/2020
Certification Date: 08/31/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 HAMILTON AVE
TRENTON NJ
08629-1915
US
IV. Provider business mailing address
1201 NOTTINGHILL LN
HAMILTON NJ
08619-4014
US
V. Phone/Fax
- Phone: 609-599-5061
- Fax: 609-599-5061
- Phone: 631-790-0987
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | C1-0013559 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | C1-0013559 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: