Provider Demographics
NPI:1740232826
Name:HIJAZI, SAADEDDINE (MD)
Entity Type:Individual
Prefix:
First Name:SAADEDDINE
Middle Name:
Last Name:HIJAZI
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 1:231 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9189
Mailing Address - Country:US
Mailing Address - Phone:570-585-8085
Mailing Address - Fax:570-585-8083
Practice Address - Street 1:231 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-9189
Practice Address - Country:US
Practice Address - Phone:570-585-8085
Practice Address - Fax:570-585-8083
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020040-E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery