Basic Information
| Provider Information | |||||||||
| NPI: | 1053478867 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DANIEL N DAVIDOW, M.D., P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8001 FRANKLIN FARMS DR | ||||||||
| Address2: | SUITE 127 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232295108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042829133 | ||||||||
| FaxNumber: | 8042829135 | ||||||||
| Practice Location | |||||||||
| Address1: | 9407 CUMBERLAND RD | ||||||||
| Address2: | |||||||||
| City: | NEW KENT | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231242029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048662242 | ||||||||
| FaxNumber: | 8049665639 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2007 | ||||||||
| LastUpdateDate: | 11/03/2009 | ||||||||
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| AuthorizedOfficialLastName: | DAVIDOW | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | NELSON | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8049662242 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101049601 | VA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 208000000X | 0101029182 | VA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | 2080A0000X | 0101034211 | VA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine |
No ID Information.