Individual
JOHN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
35008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014436
NHP
MA
05
—
3182860
—
MA
01
—
6099412-002
CIGNA
MA
01
—
796018
TUFTS
MA
01
—
B218
HPHC
MA
01
—
M08963
BCBS
MA
Enumeration date
12/26/2006
Last updated
07/08/2007
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