Provider Demographics
NPI:1558717041
Name:OBEID, LAMA (MD)
Entity type:Individual
Prefix:MS
First Name:LAMA
Middle Name:
Last Name:OBEID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 CHRIS GAUPP DR STE 204
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4488
Mailing Address - Country:US
Mailing Address - Phone:609-833-4455
Mailing Address - Fax:609-445-0021
Practice Address - Street 1:436 CHRIS GAUPP DR STE 204
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4488
Practice Address - Country:US
Practice Address - Phone:609-833-4455
Practice Address - Fax:609-445-0021
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2025-09-30
Deactivation Date:2017-01-20
Deactivation Code:
Reactivation Date:2022-09-19
Provider Licenses
StateLicense IDTaxonomies
NJ25MA128434002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery