MEDICARE: RADWA SAAD 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	22DI02435300	NJ

General Provider Information

NPI Number	:	1427379676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADWA SAAD DMD

Provider Business Mailing Address
First Line	:	3800 QUAKERBRIDGE RD
Second Line	:	SUITE 1
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1010
Country	:	US
Telephone Number	:	609-890-1888
Fax Number	:	609-890-4040

Provider Business Practice Location Address
First Line	:	3800 QUAKERBRIDGE RD
Second Line	:	SUITE 1
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1010
Country	:	US
Telephone Number	:	609-890-1888
Fax Number	:	609-890-4040

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

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	10/05/2016

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