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Individual

AMY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO, MS, MACP, FAAHPM

Contact information

Practice address
16 N BRYN MAWR AVE #386, BRYN MAWR, PA 19010-0347
(610) 520-1677
Mailing address
16 N BRYN MAWR AVE #386, BRYN MAWR, PA 19010-0347
(610) 520-1677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS013419
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
OS013419
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS013419
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021954500001
PA
Enumeration date
03/17/2007
Last updated
08/02/2023
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