| Stephanie Davidoff, M.d., Ph.d., Llc | |
|
23 Water St Holliston MA 01746-2364 | |
| (508) 561-9495 | |
| Not Available |
| Full Name | Stephanie Davidoff, M.d., Ph.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23 Water St, Holliston, Massachusetts |
| Authorized Official Name and Position | Stephanie A. Davidoff (PSYCHIATRIST/OWNER) |
| Authorized Official Contact | 5085619495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Davidoff, M.d., Ph.d., Llc 76 Whitney St Sherborn MA 01770-1006 Ph: (508) 561-9495 | Stephanie Davidoff, M.d., Ph.d., Llc 23 Water St Holliston MA 01746-2364 Ph: (508) 561-9495 |
| NPI Number | 1538759329 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 1355759093 |
|---|---|
| Medicare Enrollment ID | O20210420000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538759329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Stephanie A Davidoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669421236 PECOS PAC ID: 5294711404 Enrollment ID: I20040628001338 |
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