Provider Demographics
NPI:1184600322
Name:SAARI, JONATHAN DAVID (MS)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DAVID
Last Name:SAARI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 TEANECK RD
Mailing Address - Street 2:MFM DIVISION
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-833-7018
Mailing Address - Fax:201-833-3554
Practice Address - Street 1:718 TEANECK RD
Practice Address - Street 2:MFM DIVISION
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4245
Practice Address - Country:US
Practice Address - Phone:201-833-7018
Practice Address - Fax:201-833-3554
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5994596-3602170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS