Provider Demographics
NPI:1104668698
Name:GUESSOD, SAAD A
Entity type:Individual
Prefix:
First Name:SAAD
Middle Name:A
Last Name:GUESSOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 RIDEOUT AVE APT 6-6
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-3464
Mailing Address - Country:US
Mailing Address - Phone:207-319-4650
Mailing Address - Fax:
Practice Address - Street 1:77 RIDEOUT AVE APT 6-6
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3464
Practice Address - Country:US
Practice Address - Phone:207-319-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)