Provider Demographics
NPI:1669361879
Name:AL-RADAIDEH, MOHAMMAD SAED (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:SAED
Last Name:AL-RADAIDEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254-270 ORANGE ST APT 222
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-4505
Mailing Address - Country:US
Mailing Address - Phone:973-558-4053
Mailing Address - Fax:
Practice Address - Street 1:111 CENTRAL AVE # 1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1909
Practice Address - Country:US
Practice Address - Phone:973-877-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program