Provider Demographics
NPI:1861889396
Name:DAVIDOWITZ, YAEL (APN)
Entity type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:DAVIDOWITZ
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 GROVE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1224
Mailing Address - Country:US
Mailing Address - Phone:856-354-2211
Mailing Address - Fax:856-354-6181
Practice Address - Street 1:132 GROVE ST
Practice Address - Street 2:SUITE A
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1224
Practice Address - Country:US
Practice Address - Phone:856-354-2211
Practice Address - Fax:856-354-6181
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ226NJ00561000363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology