Individual
DR. GEORGE PAVLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 BROWERTOWN RD STE 201, WOODLAND PARK, NJ 07424-2610
(973) 812-8120
(973) 812-8144
Mailing address
1130 MCBRIDE AVE FL 3, WOODLAND PARK, NJ 07424-3806
(973) 812-1400
(973) 812-1404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA05427500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415017
GHI PPO
NJ
01
—
0507703000
AMERIHEALTH
NJ
01
—
110076087
RAILROAD MEDICARE
NJ
01
—
1945337
AETNA HMO
NJ
01
—
3K8624
HEALTHNET
NJ
01
—
4298741
AETNA PPO
NJ
01
—
439953
WELLCARE
NJ
05
—
5395305
—
NJ
01
—
830AM1
EMPIRE BC/BS
NJ
01
—
830AM2
EMPIRE BC/BS
NJ
01
—
P3929711
OXFORD
NJ
Enumeration date
06/24/2005
Last updated
08/09/2023
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