Individual
DR. GEORGE DEMIDOWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, F.A.C.C
Contact information
Practice address
340 E NORTHFIELD RD, SUITE 1-B, LIVINGSTON, NJ 07039-4892
(973) 994-0880
(973) 994-9408
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03396800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3014801
—
NJ
Enumeration date
07/22/2006
Last updated
02/03/2016
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