Provider Demographics
NPI:1932874781
Name:FREEHOLD CHILD DIAGNOSTIC CENTER, INC.
Entity Type:Organization
Organization Name:FREEHOLD CHILD DIAGNOSTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:SAJJAD
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-761-1900
Mailing Address - Street 1:501 IRON BRIDGE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5305
Mailing Address - Country:US
Mailing Address - Phone:732-761-1900
Mailing Address - Fax:732-761-2388
Practice Address - Street 1:501 IRON BRIDGE RD STE 6
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5305
Practice Address - Country:US
Practice Address - Phone:732-761-1900
Practice Address - Fax:732-761-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health