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Individual
MARIA W DAVISON
Active
Individual
MARIA W DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD071114L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025502201
UNIVERA
NY
05
—
0018065770001
—
PA
01
—
02088062
NY MEDICAL ASSISTANCE
NY
01
—
1068743
WEST VIRGINIA WORK COMP
WV
01
—
107874
UNISON
PA
01
—
1514335
GATEWAY
PA
01
—
212518
UPMC
PA
01
—
2217630
OH MEDICAL ASSISTANCE
OH
01
—
2546394
AETNA
PA
01
—
707942
BLUE SHIELD
PA
01
—
930094341
RR MEDICARE
PA
Enumeration date
07/14/2005
Last updated
05/05/2008
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