Davidson, J Thomas

Davidson, J Thomas is an individual health care provider with primary practice located at 281 Witherspoon St Suite 120, Princeton NJ 08540-3210. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davidson, J Thomas can be contacted via phone (609) 921-7223.

Contact Information

Primary practice address
281 Witherspoon St Suite 120 Princeton NJ 08540-3210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA02846700 New Jersey

Profile Details

NPI number 1700873817
LBN Legal business name Davidson, J Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 2nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700873817 NPPES
New Jersey MEDICAID 3745007

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