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NPI Code Detail

MEDICARE: DR. PAUL ANDREW BARABAS DDS

MEDICARE: DR. PAUL ANDREW BARABAS DDS
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
11223P0300XPeriodontics9732NJ

General Provider Information

NPI Number : 1730196312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ANDREW BARABAS DDS
Provider Business Mailing Address
First Line : 88 W RIDGEWOOD AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-3199
Country : US
Telephone Number : 201-447-0855
Fax Number :
Provider Business Practice Location Address
First Line : 88 W RIDGEWOOD AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-3199
Country : US
Telephone Number : 201-447-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 07/08/2007

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