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Individual

DR. IMAD KHODOR SAEDELDINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1029 MAIN ST, SECOND FLOOR, PATERSON, NJ 07503-2226
(973) 345-0444
(973) 345-0422
Mailing address
1029 MAIN ST, SECOND FLOOR, PATERSON, NJ 07503-2226
(973) 345-0444
(973) 345-0422

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07814800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056430
NJ
Enumeration date
06/01/2006
Last updated
12/11/2007
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