Davidson, Melissa

Davidson, Melissa is an individual health care provider with primary practice located at 370 Grand Avenue Ste 203, Englewood NJ 07631. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Davidson, Melissa can be contacted via phone (201) 568-3262.

Contact Information

Primary practice address
370 Grand Avenue Ste 203 Englewood NJ 07631
Phone: (201) 568-3262
Fax: (201) 589-2634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA056284 New Jersey
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA056284 New Jersey

Profile Details

NPI number 1467410043
LBN Legal business name Davidson, Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1467410043 NPPES
Other BP169 OXFORD
MEDICAID 4573706 OXFORD

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