Individual
LAURA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 CEDAR ST, NEW HAVEN, CT 06510-3218
(203) 785-5000
Mailing address
330 CEDAR ST, NEW HAVEN, CT 06510-3218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0600003822
VT
Other
Enumeration date
07/21/2010
Last updated
06/06/2012
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