Davidoff, Ronald Jay

Davidoff, Ronald Jay is an individual health care provider with primary practice located at 153 Hazard Ave , Enfield CT 06082-4592. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Davidoff, Ronald Jay can be contacted via phone (860) 253-5020.

Contact Information

Primary practice address
153 Hazard Ave Enfield CT 06082-4592
Fax: (860) 253-5030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 034586 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 52805 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 034586 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 52805 Massachusetts

Profile Details

NPI number 1447366455
LBN Legal business name Davidoff, Ronald Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated May 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447366455 NPPES
Massachusetts Other 0023796 NEIGHBORHOOD HEALTH PLAN#
Massachusetts Other 6178537 NEIGHBORHOOD HEALTH PLAN#

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