Organization
DAVIS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMPSON M DAVIS MD (AUTHORIZED OFFICIAL)
(973) 868-0615
Entity
Organization
Contact information
Practice address
161 LENOX AVE, NEW YORK, NY 10026-1320
(973) 868-0615
(845) 421-8668
Mailing address
350 HARDING DR, SOUTH ORANGE, NJ 07079-1339
(973) 868-0615
(845) 421-8668
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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