Provider Demographics
NPI:1265664205
Name:QAISRA SAEED, L.L.C.
Entity Type:Organization
Organization Name:QAISRA SAEED, L.L.C.
Other - Org Name:NEW JERSEY CARDIOVASCULAR CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QAISRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-218-6000
Mailing Address - Street 1:100 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-1824
Mailing Address - Country:US
Mailing Address - Phone:973-218-6000
Mailing Address - Fax:973-679-8636
Practice Address - Street 1:116 MILLBURN AVENUE
Practice Address - Street 2:SUITE 214
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1919
Practice Address - Country:US
Practice Address - Phone:973-218-6000
Practice Address - Fax:973-679-8636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06990400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty