Individual
BENJAMIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
546 SCENIC AVE, BLOOMSBURG, PA 17815-8234
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI005143
PA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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