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

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
Mailing address65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102

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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