Individual
DAVIS MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11037 DORSCH FARM RD, ELLICOTT CITY, MD 21042-6267
(410) 740-0896
Mailing address
11037 DORSCH FARM RD, ELLICOTT CITY, MD 21042-6267
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D47700
MD
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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