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NPI Code Detail

MEDICARE: THEODORE F SAAD M.D.

MEDICARE:   THEODORE F SAAD  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianD0055334MD
2207RN0300XNephrology PhysicianC1-0005632DE

Other Identifiers

General Provider Information

NPI Number : 1417943994
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEODORE F SAAD M.D.
Provider Business Mailing Address
First Line : 4923 OGLETOWN STANTON RD
Second Line : SUITE 200
City : NEWARK
State : DE
Zip : 19713-2081
Country : US
Telephone Number : 302-225-0451
Fax Number : 302-225-0472
Provider Business Practice Location Address
First Line : 1092 OLD CHURCHMANS RD
Second Line :
City : NEWARK
State : DE
Zip : 19713-2102
Country : US
Telephone Number : 302-472-9880
Fax Number : 302-472-9614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/17/2021

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