Provider Demographics
NPI:1730955741
Name:DAVILAR, MARIA R
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:R
Last Name:DAVILAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 NICHOLAS DR
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-1558
Mailing Address - Country:US
Mailing Address - Phone:917-348-3977
Mailing Address - Fax:
Practice Address - Street 1:35 NICHOLAS DR
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-1558
Practice Address - Country:US
Practice Address - Phone:917-348-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ14985374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula