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Individual

DR. DAVID Z EVDOKIMOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
96 S FINLEY AVE, BASKING RIDGE, NJ 07920-1422
(908) 221-1136
(908) 221-0482
Mailing address
96 S FINLEY AVE, BASKING RIDGE, NJ 07920-1422
(908) 221-1136
(908) 221-0482

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
25MA07315300
NJ
208200000X
Plastic Surgery Physician
25MA07315300
NJ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
25MA07315300
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
25MA07315300
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
25MA07315300
NJ

Other

Enumeration date
11/20/2006
Last updated
09/07/2007
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