Basic Information
Provider Information
NPI: 1568882595
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAAB
FirstName: SAID
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPHIL
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2450 W HUNTING PARK AVE
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191291302
CountryCode: US
TelephoneNumber: 2157073008
FaxNumber: 2157071387
Practice Location
Address1: 3401 N BROAD ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19140
CountryCode: US
TelephoneNumber: 2157073008
FaxNumber: 2157071387
Other Information
ProviderEnumerationDate: 04/17/2014
LastUpdateDate: 01/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD459917PAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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