Provider Demographics
NPI:1518456987
Name:SAID, ADEL G
Entity Type:Individual
Prefix:
First Name:ADEL
Middle Name:G
Last Name:SAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 RED OAK ROW
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2840
Mailing Address - Country:US
Mailing Address - Phone:609-233-7874
Mailing Address - Fax:609-233-7874
Practice Address - Street 1:16 RED OAK ROW
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2840
Practice Address - Country:US
Practice Address - Phone:609-233-7874
Practice Address - Fax:609-233-7874
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03929900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist