Provider Demographics
NPI:1861543662
Name:BIKOFF, DAVID JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOEL
Last Name:BIKOFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:146 ROUTE 17 NORTH
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-488-8584
Mailing Address - Fax:201-488-7572
Practice Address - Street 1:146 ROUTE 17 NORTH
Practice Address - Street 2:3RD FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-488-8584
Practice Address - Fax:201-488-7572
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2010-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA36206208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC56181Medicare UPIN
NJBI460149Medicare ID - Type Unspecified