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Individual
DR. RONALD JAY DAVIDOFF
Active
Individual
DR. RONALD JAY DAVIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
034586
CT
2084P0800X
Psychiatry Physician
52805
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
034586
CT
2084P0804X
Child & Adolescent Psychiatry Physician
52805
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023796
NEIGHBORHOOD HEALTH PLAN#
MA
01
—
6178537
MASS HEALTH NUMBER
MA
Enumeration date
08/22/2006
Last updated
05/03/2012
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