Provider Demographics
NPI:1558892026
Name:ABOELSAAD, AHMED (DPT, OCS, CHT)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:ABOELSAAD
Suffix:
Gender:M
Credentials:DPT, OCS, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W SPRING VALLEY AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1444
Mailing Address - Country:US
Mailing Address - Phone:201-300-9897
Mailing Address - Fax:201-880-7410
Practice Address - Street 1:255 W SPRING VALLEY AVE STE 109
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1444
Practice Address - Country:US
Practice Address - Phone:201-300-9897
Practice Address - Fax:201-880-7410
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-25
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041217225100000X
NJ40QA01843300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist