Healthcare Provider Details

I. General information

NPI: 1619106671
Provider Name (Legal Business Name): SANA H OBAID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 MCBRIDE AVE SUITE C
WOODLAND PARK NJ
07424-3806
US

IV. Provider business mailing address

107 TIMBERLINE DR
WAYNE NJ
07470-5558
US

V. Phone/Fax

Practice location:
  • Phone: 973-785-8400
  • Fax: 973-785-8402
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number25MA08506600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: