Provider Demographics
NPI:1083260459
Name:BARR, SADAQAH (CEO)
Entity Type:Individual
Prefix:
First Name:SADAQAH
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:
Other - Last Name:OSEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 SCHANCK RD STE E
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5310
Mailing Address - Country:US
Mailing Address - Phone:609-338-2244
Mailing Address - Fax:609-939-0700
Practice Address - Street 1:70 SCHANCK RD STE E
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5310
Practice Address - Country:US
Practice Address - Phone:609-338-2244
Practice Address - Fax:609-939-0700
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist