Olivia Davidovich
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dover, NJ
NPI 1174982003 · NPPES record last updated Feb 20, 2016
Key facts
- NPI
- 1174982003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 35 Fox Hill Dr
Dover, NJ 07801-4417 - Phone
- (973) 525-6866
- NPI assigned
- Feb 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
35 Fox Hill Dr
Dover, NJ 07801-4417
Mailing address
35 Fox Hill Dr
Dover, NJ 07801-4417
Phone (973) 525-6866
Other providers in Dover, NJ
- Katerina Danchenko
- Daniel Feghhi MD
- Aranyak Das
- David Gordon
- David Rubinfeld, M.D. LLC
- De CHI Company Inc.
- Francis Tenison Deane
- Bijal B Desai
- Jenna T Devita
- Diamond Braces Dover
All providers in Dover, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.