Provider Demographics
NPI:1497713713
Name:MARKOWITZ, GEORGE JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:JOSEPH
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 ROCKBURN PASS
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-3114
Mailing Address - Country:US
Mailing Address - Phone:973-728-9186
Mailing Address - Fax:973-728-9186
Practice Address - Street 1:223 N VAN DIEN AVE
Practice Address - Street 2:THE VALLEY HOSPITAL, DEPT. OF EMERGENCY MEDICINE
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2726
Practice Address - Country:US
Practice Address - Phone:201-447-8023
Practice Address - Fax:201-447-3201
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03833700207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1950304Medicaid
E04000Medicare UPIN
NJ071815Medicare ID - Type Unspecified