Provider Demographics
NPI:1760445613
Name:CEREMUGA, GEORGE JEFFREY (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:JEFFREY
Last Name:CEREMUGA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:
Mailing Address - City:FT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5285
Mailing Address - Country:US
Mailing Address - Phone:571-326-4446
Mailing Address - Fax:571-231-2387
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:
Practice Address - City:FT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:571-326-4446
Practice Address - Fax:571-231-2387
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT10889204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM