Provider Demographics
NPI:1639107337
Name:SADIK, ZUBAIDA (MD)
Entity Type:Individual
Prefix:
First Name:ZUBAIDA
Middle Name:
Last Name:SADIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WALNUT GRV
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2115
Mailing Address - Country:US
Mailing Address - Phone:732-577-9836
Mailing Address - Fax:
Practice Address - Street 1:495 IRON BRIDGE RD
Practice Address - Street 2:SUITE ONE
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5306
Practice Address - Country:US
Practice Address - Phone:732-577-0047
Practice Address - Fax:732-577-1324
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA036802002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3166805Medicaid