Organization · Type 2 NPI
David Evdokimow, M.d. LLC
Plastic and Reconstructive Surgery Physician · Basking Ridge, NJ
NPI number
1124466966
Active
Practice location
96 South Finley Ave.
Basking Ridge, NJ 07920
Fax (908) 221-0482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatopathology Physician | 207ND0900X | None listed |
| Procedural Dermatology Physician | 207NS0135X | None listed |
| Surgery Physician | 208600000X | None listed |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | None listed |
| Pediatric Surgery Physician | 2086S0120X | None listed |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
| General Practice Physician | 208D00000X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1124466966
David Evdokimow, M.d. LLC's National Provider Identifier is 1124466966, issued on Jun 13, 2013. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Basking Ridge, NJ. The record was last updated on Jun 13, 2013.