Healthcare Provider Details
I. General information
NPI: 1982648226
Provider Name (Legal Business Name): CHRISTINE GEORGINE SAAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2006
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 N 17TH ST STE 103
ALLENTOWN PA
18104-5034
US
IV. Provider business mailing address
PO BOX 783311
PHILADELPHIA PA
19178-3311
US
V. Phone/Fax
- Phone: 610-969-3070
- Fax: 610-969-3073
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WC0802X |
| Taxonomy | Corneal and Contact Management Optometrist |
| License Number | MD428749 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD428749 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: