# ROY I DAVIDOVITCH MD NJ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073328290
- **Authorized official:** ROSE COHEN (MANAGER)
- **Authorized official phone:** (646) 542-0569

## Contact information

- **Practice address:** 34 S DEAN ST STE 202, ENGLEWOOD, NJ 07631-3515
- **Practice address phone:** (551) 369-1250
- **Practice address fax:** (646) 974-6989
- **Mailing address:** PO BOX 626, GREAT RIVER, NY 11739-0626
- **Mailing address phone:** (631) 892-2745
- **Mailing address fax:** (631) 201-3179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 02/13/2025