Healthcare Provider Details
I. General information
NPI: 1902171002
Provider Name (Legal Business Name): JOSEPH SAID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/21/2012
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
574 SPRINGFIELD AVE
WESTFIELD NJ
07090
US
IV. Provider business mailing address
STONY BROOK UNIVERSITY MEDICAL CTR DEPARTMENT OF ORTHOPAEDICS, HSC T-18
STONY BROOK NY
11794-8181
US
V. Phone/Fax
- Phone: 908-232-7797
- Fax: 908-673-7360
- Phone: 631-444-1487
- Fax: 631-444-3502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | 763807723 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 25MA10093300 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: