Provider Demographics
NPI:1649694738
Name:SAID A SALEH MD PROFESSIONAL ASSOCIATON
Entity type:Organization
Organization Name:SAID A SALEH MD PROFESSIONAL ASSOCIATON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-476-2112
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-0095
Mailing Address - Country:US
Mailing Address - Phone:973-751-7691
Mailing Address - Fax:973-751-1089
Practice Address - Street 1:1 CLARA MAASS DR STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3550
Practice Address - Country:US
Practice Address - Phone:973-751-7691
Practice Address - Fax:973-751-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06618000207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6761305Medicaid
NJ25MA06618000OtherLISCE