Provider Demographics
NPI:1982874293
Name:EDWARD V SARADARIAN MD
Entity Type:Organization
Organization Name:EDWARD V SARADARIAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:SARADARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-539-3355
Mailing Address - Street 1:26 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-539-3355
Mailing Address - Fax:973-539-0128
Practice Address - Street 1:26 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-539-3355
Practice Address - Fax:973-539-0128
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARD V SARADARIAN MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-04
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0803820001OtherDNEC
NJ4762509Medicaid
NJ4762509Medicaid
NJ0803820001Medicare NSC
NJSA458101Medicare PIN