Individual
MR. JOHN A. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PROVIDENCE HIGHWAY, SUITE 202-203, DEDHAM, MA 02026
(781) 255-0778
(781) 255-0857
Mailing address
200 PROVIDENCE HIGHWAY, SUITE 202-203, DEDHAM, MA 02026
(781) 255-0778
(781) 255-0857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35844
MA
2083X0100X
Occupational Medicine Physician
Primary
35844
MA
Other
Enumeration date
10/18/2006
Last updated
12/16/2013
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