Provider Demographics
NPI:1437405743
Name:SAOUD, SABINE (RD)
Entity Type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:SAOUD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SABYN
Other - Middle Name:
Other - Last Name:SAOUD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:216 LONG HILL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2006
Mailing Address - Country:US
Mailing Address - Phone:973-600-6326
Mailing Address - Fax:
Practice Address - Street 1:216 LONG HILL RD
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-2006
Practice Address - Country:US
Practice Address - Phone:973-600-6326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1043401133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered