MEDICARE: MELVIN STEVEN BABAD DMD

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	1223G0001X	General Practice Dentistry	10433	NJ

General Provider Information

NPI Number	:	1225182413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVIN STEVEN BABAD DMD

Provider Business Mailing Address
First Line	:	1941 S BROAD ST
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08610-6003
Country	:	US
Telephone Number	:	609-396-9491
Fax Number	:	609-396-2034

Provider Business Practice Location Address
First Line	:	1941 S BROAD ST
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08610-6003
Country	:	US
Telephone Number	:	609-396-9491
Fax Number	:	609-396-2034

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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