Organization
GEORGE PAVLOU, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PUCHIK OFFICE MANAGER (OFFICE MANAGER)
(973) 256-5557
Entity
Organization
Contact information
Practice address
19 YAWPO AVE., OAKLAND, NJ 07436
(201) 337-3412
(201) 337-3353
Mailing address
19 YAWPO AVE., OAKLAND, NJ 07436
(201) 337-3412
(201) 337-3353
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039300
—
NJ
05
—
5395305
—
NJ
Enumeration date
04/11/2007
Last updated
09/19/2007
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