Individual
DR. MICHELE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
614 CRANBURY RD UNIT 81, EAST BRUNSWICK, NJ 08816-8004
(908) 360-5362
Mailing address
614 CRANBURY RD UNIT 81, EAST BRUNSWICK, NJ 08816-8004
(908) 451-5362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
236461
NY
207Q00000X
Family Medicine Physician
Primary
25MB07472100
NJ
Other
Enumeration date
07/12/2005
Last updated
03/30/2018
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