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Individual
GEORGE DAVYDOV
Active
Individual
GEORGE DAVYDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018986
NY
363AS0400X
Surgical Physician Assistant
25MP00542200
NJ
Other
Enumeration date
09/16/2015
Last updated
01/02/2024
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