Provider Demographics
NPI:1881579274
Name:NARDINE ASSAAD, MD, LLC
Entity type:Organization
Organization Name:NARDINE ASSAAD, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-981-3337
Mailing Address - Street 1:120 SISTER PIERRE DR STE 407
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7536
Mailing Address - Country:US
Mailing Address - Phone:410-769-8801
Mailing Address - Fax:410-769-8803
Practice Address - Street 1:602 S ATWOOD RD STE 206
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4329
Practice Address - Country:US
Practice Address - Phone:443-981-3337
Practice Address - Fax:443-981-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty