David Z Evdokimow
DAVID EVDOKIMOW, MD, LLC


Address: 96 S Finley Ave, Basking Ridge, NJ 07920-1422
Phone: 9082211136

David Z Evdokimow (NPI# 1508930678, PAC ID# 1254381627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1508930678
PAC ID by PECOS 1254381627
Professional Enrollment ID I20050125000183
Full Name David Z Evdokimow
Organization Legal Name DAVID EVDOKIMOW, MD, LLC
Address 96 S Finley Ave
Basking Ridge
NJ 07920-1422
Phone Number 9082211136
Gender M
Credential MD
Graduation Year 1986
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 1951521178
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
96 S Finley Ave, Basking Ridge, NJ 07920-1422 9082211136 DAVID EVDOKIMOW, MD, LLC

Organization Information

Organization Legal Name DAVID EVDOKIMOW, MD, LLC
Physicians 1

Office Location

Street Address 96 S FINLEY AVE
City BASKING RIDGE
State NJ
Zip 07920-1422

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Competitor

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City BASKING RIDGE
Zip Code 07920
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty BASKING RIDGE + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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