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Jerome Gary Davidson, MD
Hematology & Oncology Physician in Northridge, California
NPI 1114926490

Jerome Gary Davidson is a Hematology & Oncology Physician based in San Bernardino, CA and is specialized in Hematology & Oncology. Jerome Gary Davidson practices in Northridge, CA and has the professional credentials of MD. The NPI Number for Jerome Gary Davidson is 1114926490 and holds a License No. A22489 (California).

The current practice location address for Jerome Gary Davidson is 18300 Roscoe Blvd, Northridge, CA and can be reached out via phone at 818-700-2336 and via fax at 818-700-2337.

Location: 18300 Roscoe Blvd, Northridge, CA, 92423-1307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114926490
Provider Name
Jerome Gary Davidson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18300 Roscoe Blvd, Northridge, CA, 92423-1307
Phone Number
818-700-2336
Fax Number
818-700-2337
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOA224890 05 CA
1114926490 05 CA
1902108293 05 CA
institution
Provider Business Practice Location Address Details
Address
18300 Roscoe Blvd
City
Northridge
State
California
Zip
91325-4105
Phone Number
818-700-2336
Fax Number
818-700-2337
person
Provider Business Mailing Address Details
Address
18300 Roscoe Blvd
City
Northridge
State
California
Zip
91325-4105
Phone Number
818-700-2336
Fax Number
818-700-2337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A22489 (California)
Definition
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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