Individual
DR. JODY ROBERT TVERSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
5458
MD
207KA0200X
Allergy Physician
ME166351
FL
207R00000X
Internal Medicine Physician
042352
CT
207R00000X
Internal Medicine Physician
MD-13065
HI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
250668
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
D66119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042352
CT STATE LICENSE
CT
01
—
D0066119
MARYLAND STATE MEDICAL LICENSE
MD
01
—
MD-13065
HAWAII MEDICAL LICENSE
HI
Enumeration date
01/31/2007
Last updated
03/06/2025
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