Individual
DR. GEORGE W SIDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
852 ROUTE 3, CLIFTON, NJ 07012-2343
(973) 450-1991
(973) 528-8009
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11236900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/09/2019
Last updated
09/08/2022
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