Healthcare Provider Details

I. General information

NPI: 1306099882
Provider Name (Legal Business Name): TALAE SAEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 MAIN ST SUIT 100
PHOENIXVILLE PA
19460-4476
US

IV. Provider business mailing address

PO BOX 525
PHOENIXVILLE PA
19460-0525
US

V. Phone/Fax

Practice location:
  • Phone: 610-933-8000
  • Fax:
Mailing address:
  • Phone: 610-933-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD435673
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number250685
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: