Individual
MEREDITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 BROOKLINE AVE, MELANOMA TREATMENT CENTER, BOSTON, MA 02215-5418
(617) 582-9030
Mailing address
450 BROOKLINE AVE, MELANOMA TREATMENT CENTER, BOSTON, MA 02215-5418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4513
MA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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