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Individual

RICHARD S DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4306
(215) 590-1527
(215) 590-1501
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD026953E
PA
208000000X
Pediatrics Physician
MD026953E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000860890
PA
05
556301
NJ
Enumeration date
07/21/2006
Last updated
03/13/2013
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