Saedeldine, Imad Khodor
Saedeldine, Imad Khodor is an sole proprietor health care provider with primary practice located at 1029 Main St Second Floor, Paterson NJ 07503-2226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Saedeldine, Imad Khodor can be contacted via phone (973) 345-0444.Contact Information
Primary practice address
1029 Main St Second Floor
Paterson NJ 07503-2226
Phone: (973) 345-0444
Fax: (973) 345-0422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07814800 | New Jersey |
Profile Details
| NPI number | 1740227560 |
|---|---|
| LBN Legal business name | Saedeldine, Imad Khodor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Dec 11th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740227560 | NPPES |
| New Jersey | MEDICAID | 0056430 |
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