Individual
DR. JONATHAN VICTOR DAVIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-3522
(434) 924-5306
(434) 982-1064
Mailing address
1215 LEE ST BOX 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5306
(434) 982-1064
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0116037541
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116037541
VA
Other
Enumeration date
04/07/2022
Last updated
08/11/2023
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