Davidson, Jean Marie

Davidson, Jean Marie is an individual health care provider with primary practice located at 200 Bowman Dr Suite E385, Voorhees NJ 08043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Davidson, Jean Marie can be contacted via phone (856) 673-3490.

Contact Information

Primary practice address
200 Bowman Dr Suite E385 Voorhees NJ 08043
Phone: (856) 673-3490
Fax: (856) 795-1475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MB08118200 New Jersey

Profile Details

NPI number 1689866204
LBN Legal business name Davidson, Jean Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Oct 21st, 2020 - about 4 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 1689866204 NPPES
New Jersey MEDICAID 0311863

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