Provider Demographics
NPI:1164668489
Name:DR EVELINE ASSAD, MD LLC
Entity type:Organization
Organization Name:DR EVELINE ASSAD, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:ASSAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-687-0773
Mailing Address - Street 1:1 STILES LANE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823
Mailing Address - Country:US
Mailing Address - Phone:732-687-0773
Mailing Address - Fax:732-390-0550
Practice Address - Street 1:6 CORNWALL COURT
Practice Address - Street 2:SUITES A & B
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-390-5550
Practice Address - Fax:732-390-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty