Individual
DR. JOHN LUCIAN DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 785-4198
Mailing address
60 COLLEGE ST, NEW HAVEN, CT 06510-3201
(415) 785-2912
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
53935
CT
207RP1001X
Pulmonary Disease Physician
53935
CT
207RP1001X
Pulmonary Disease Physician
A86123
CA
Other
Enumeration date
09/16/2006
Last updated
07/30/2015
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