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Contact Information

RONALD J DAVIDOFF, MD
153 HAZARD AVE
ENFIELD, CT06082-4592
 Phone: 860-253-5020
 Fax: 860-253-5030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RONALD J DAVIDOFF · (Male)

NPI # 1447366455
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 05/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 034586
  • MA License # 52805
  • MA Other 6178537 MASS HEALTH NUMBER
  • MA Other 0023796 NEIGHBORHOOD HEALTH PLAN#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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