Dr. Ronald Jay Davidoff, M.D.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Enfield, CT. Individual provider (NPI-1).
NPI number1447366455
StatusActive
Last updated in NPPESMay 3, 2012
Details
- NPI
- 1447366455
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Jay Davidoff
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- May 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 034586 | CT | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 034586 | CT | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 52805 | MA | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 52805 | MA |
Practice location
153 Hazard AveEnfield, CT 06082-4592
Phone 860-253-5020 · Fax 860-253-5030
Mailing address
2 Burnett StGranby, MA 01033-3312
Phone 413-536-3520 · Fax 860-253-5030
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