Individual
PHILIP DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3131 RTE 38, MOUNT LAUREL, NJ 08054-9757
(856) 866-8700
Mailing address
3600 ROUTE 66, 3RD FL, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00339500
NJ
Other
Enumeration date
07/10/2014
Last updated
09/20/2023
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