Individual
MICHAEL BENJAMIN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 MEMBERS WAY, SUITE 400, DOVER, NH 03820-5933
(603) 742-1143
(603) 749-3509
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-1143
(603) 749-3509
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
13393
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225109168
—
ME
05
—
3076450
—
NH
01
—
P00775096
RR MEDICARE
NH
Enumeration date
11/13/2006
Last updated
02/17/2014
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