Organization
DAVIS INTEGRATED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED DAVIS DC (OWNERQ)
(973) 839-1003
Entity
Organization
Contact information
Practice address
309 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 839-1003
(973) 839-3653
Mailing address
309 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 839-1003
(973) 839-3653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00206300
NJ
208100000X
Physical Medicine & Rehabilitation Physician
38MC00206300
NJ
208D00000X
General Practice Physician
38MC00206300
NJ
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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