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David Evdokimow, M.D

NPI 1508930678 · on the registry since 2006 · sole proprietor

Practice

Address
96 S Finley Ave
Basking Ridge, NJ 07920
Phone
(908) 221-1136
Fax
(908) 221-0482
Organisation at this address
David Evdokimow, M.D. Llc
De Omilia Plastic Surgery Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2082S0105X
2082S0105X
Also registered as
204E00000X
208200000X
2086S0105X
2086S0122X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey