Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Davidov, MD

Individual provider Anesthesiology Physician · NPI 1154571164

Mark Davidov, MD is an Anesthesiology in Pomona, New Jersey. Qualified in 2005, 21 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group and accepts Medicare assignment. Licensed in Michigan and New Jersey.

Years since qualifying
21
Licensed in
MI, NJ
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone: (609) 748-7597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA09263200 (NJ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301097628 (MI)

Record details

NPI number1154571164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESAugust 25, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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