Individual
DR. PHILLIP DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
776 E 3RD AVE, ROSELLE, NJ 07203-1698
(908) 241-7800
Mailing address
776 E 3RD AVE, ROSELLE, NJ 07203-1698
(908) 241-7800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA01936500
NJ
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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