George W Sidrak, DO Valid NPI
Individual provider · Family Medicine Physician · Clifton, NJ
- NPI
- 1194283085
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 25MB11236900 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-03-09
- Last updated
- 2022-09-08
Practice location
852 Route 3
Clifton, NJ 07012-2343
(973) 450-1991