Provider Demographics
NPI:1467997742
Name:NAAMAN, GEORGE (MD, DO)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:NAAMAN
Suffix:
Gender:M
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1301
Mailing Address - Country:US
Mailing Address - Phone:551-333-1724
Mailing Address - Fax:973-707-7223
Practice Address - Street 1:963 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1301
Practice Address - Country:US
Practice Address - Phone:551-333-1724
Practice Address - Fax:201-541-2183
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB12062900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine