Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD432431 | PA |
NPI | 1053434399 |
---|---|
Provider Name | Dr. Scott Davidoff |
First Address | King Of Prussia, PA 19406-3530 |
Second Address | King Of Prussia, PA 19406-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 06/04/2021 |