Individual provider · Type 1 NPI
Jerome Gary Davidson, MD
Hematology & Oncology Physician · Northridge, CA
Practice location
18300 Roscoe Blvd
Northridge, CA 91325-4105
Fax (818) 700-2337
Mailing address
PO Box 11307
San Bernardino, CA 92423-1307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician Primary | 207RH0003X | A22489 (CA) |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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About NPI 1114926490
Jerome Gary Davidson, MD's National Provider Identifier is 1114926490, issued on Jul 19, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Northridge, CA. The record was last updated on Jun 8, 2011.