Provider Demographics
NPI:1225182413
Name:BABAD, MELVIN STEVEN (DMD)
Entity Type:Individual
Prefix:
First Name:MELVIN
Middle Name:STEVEN
Last Name:BABAD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-6003
Mailing Address - Country:US
Mailing Address - Phone:609-396-9491
Mailing Address - Fax:609-396-2034
Practice Address - Street 1:1941 S BROAD ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-6003
Practice Address - Country:US
Practice Address - Phone:609-396-9491
Practice Address - Fax:609-396-2034
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ104331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice