Provider Demographics
NPI:1891006359
Name:GEORGE, TONY K (DO)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:K
Last Name:GEORGE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1548
Mailing Address - Country:US
Mailing Address - Phone:732-283-2663
Mailing Address - Fax:732-283-2661
Practice Address - Street 1:1050 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1548
Practice Address - Country:US
Practice Address - Phone:732-283-2663
Practice Address - Fax:732-283-2661
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB09669200208VP0000X, 208VP0000X, 208VP0014X
MA253932208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine