Provider Demographics
NPI:1386655348
Name:ANTOUN, SAAD S (MD)
Entity Type:Individual
Prefix:DR
First Name:SAAD
Middle Name:S
Last Name:ANTOUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:733 N BEERS ST
Mailing Address - Street 2:SUITE L 6
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1528
Mailing Address - Country:US
Mailing Address - Phone:732-739-2200
Mailing Address - Fax:732-739-8988
Practice Address - Street 1:733 N BEERS ST
Practice Address - Street 2:SUITE L 6
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1528
Practice Address - Country:US
Practice Address - Phone:732-739-2200
Practice Address - Fax:732-739-8988
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-06-30
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03116400208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3025004Medicaid
D07198Medicare UPIN