Provider Demographics
NPI:1972674216
Name:SYED F SAJJAD
Entity Type:Organization
Organization Name:SYED F SAJJAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:F
Authorized Official - Last Name:SAJJAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-631-8488
Mailing Address - Street 1:1760 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3535
Mailing Address - Country:US
Mailing Address - Phone:609-586-6678
Mailing Address - Fax:
Practice Address - Street 1:1760 WHITEHORSE HAMILTON SQUARE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3535
Practice Address - Country:US
Practice Address - Phone:609-586-6678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06535300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ032944Medicare PIN