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Individual

MR. SAADI GHATAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 10TH AVE, SUITE 5G-80, NEW YORK, NY 10019-1147
(212) 636-3232
Mailing address
PO BOX 95000-5420, PHILADELPHIA, PA 19195-5420
(212) 636-3232

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
227303-1
NY
302F00000X
Exclusive Provider Organization
227303-1
NY
302F00000X
Exclusive Provider Organization
25MA07796800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02395251
NY
Enumeration date
01/02/2007
Last updated
03/25/2014
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