Organization
CHRISTOPHER J. DAVIDSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE MARIA GRANDI (BILLING SPECIALIST)
(978) 667-5230
Entity
Organization
Contact information
Practice address
332 WASHINGTON ST, SUITE 100, WELLESLEY HILLS, MA 02481-6219
(978) 667-5230
Mailing address
332 WASHINGTON ST, SUITE 100, WELLESLEY HILLS, MA 02481-6219
(978) 667-5230
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
223532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2117827
—
MA
Enumeration date
02/08/2008
Last updated
09/03/2008
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