Individual
DAVID BEZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 JAMES STREET, THE NEW JERSEY NEUROSCIENCE INSTITUTE, EDISON, NJ 08820
(732) 632-1685
(732) 632-1584
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 791-2520
(717) 703-0061
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
268341
NY
2084N0400X
Neurology Physician
Primary
MD446713
PA
2084N0400X
Neurology Physician
MD60393887
WA
2084N0600X
Clinical Neurophysiology Physician
25MA08911900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103095575
—
PA
Enumeration date
03/29/2012
Last updated
01/31/2024
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