MEDICARE: DR. OLADAPO MICHAEL BABATUNDE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	272792	NY
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	272792	NY

General Provider Information

NPI Number	:	1083857593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLADAPO MICHAEL BABATUNDE M.D.

Provider Business Mailing Address
First Line	:	196 PATERSON AVE STE 3-300
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1841
Country	:	US
Telephone Number	:	201-500-9450
Fax Number	:	201-500-9451

Provider Business Practice Location Address
First Line	:	196 PATERSON AVE STE 3-300
Second Line	:
City	:	EAST RUTHERFORD
State	:	NJ
Zip	:	07073-1841
Country	:	US
Telephone Number	:	201-500-9450
Fax Number	:	201-500-9451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	07/04/2024

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